Caitlin Tawney Moyer, CPNP-AC
Nurse Practitioner, Pediatrics in Baltimore, MD. Individual provider (NPI-1).
NPI number1669923017
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1669923017
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Tawney Moyer
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2016
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R185046 | MD | Yes |
Practice location
29 S Greene StBaltimore, MD 21201-1504
Phone 410-328-5410 · Fax 410-328-0652
Mailing address
29 S Greene StBaltimore, MD 21201-1504
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