Vivarian Nicole Moulton, FNP-C
Nurse Practitioner, Family in Plant City, FL. Individual provider (NPI-1).
NPI number1558089607
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1558089607
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vivarian Nicole Moulton
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11021420 | FL | Yes |
| 363L00000X | Nurse Practitioner | APRN11021420 | FL |
Practice location
1408 W Reynolds StPlant City, FL 33563-4361
Phone 813-321-4351
Mailing address
1408 W Reynolds StPlant City, FL 33563-4361
Phone 813-321-4351
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All 47 Family Nurse Practitioner providers in Plant City · All 1,032 providers in Plant City
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