MAUREEN ANN MOFFETT (NPI# 1023548914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023548914 |
| Entity Type | Individual |
| Full Name | MAUREEN ANN MOFFETT |
| Credential | CNS |
| Practice Address |
4755 Ogletown Stanton Road Neonatal Intensive Care Unit Newark DE 19718 |
| Mailing Address |
6235 Ardleigh St Philadelphia PA 19138-1522 |
| Practice Telephone | 3027332400 |
| Mailing Telephone | 2159820435 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
L4-0000001 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | STATE OF DELAWARE BOARD OF NURSING | L4-0000001 | 01 |
| DE | STATE OF DELAWARE BOARD OF NURSING | L1-0045988 | 01 |
| Street Address |
4755 OGLETOWN STANTON ROAD NEONATAL INTENSIVE CARE UNIT |
| City | NEWARK |
| State | DE |
| Zip Code | 19718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397392 | Leonard I Japko | Pathology | 4755 Ogletown Stanton Road, Newark, DE 19718-0001 | 2005-06-21 |
| 1366901365 | Meghan P Ericksen | Registered Nurse | 4755 Ogletown Stanton Road, Suite 1070, Newark, DE 19718-2200 | 2019-03-19 |
| 1144712613 | Hannah Betters | Physician Assistant | 4755 Ogletown Stanton Road, Suite 2670, Christiana Hospital Dept of Surgery, Newark, DE 19718-2200 | 2018-05-31 |
| 1699291328 | Joy Zaccaria | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2017-08-15 |
| 1386182186 | Ashley Boller | Physician Assistant | 4755 Ogletown Stanton Road, Suite 2e99, Newark, DE 19718-2200 | 2017-02-01 |
| 1205387016 | Sonya Modi | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2016-10-17 |
| 1629420435 | Nicholas R. Klock | Physician Assistant | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2016-07-05 |
| 1942681614 | Dana Chanes Manuel | Internal Medicine | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2015-06-17 |
| 1821477324 | Thomas Keith Sheehan II | Internal Medicine | 4755 Ogletown Stanton Road, Suite 5a43, Newark, DE 19718-2200 | 2015-05-29 |
| 1780061754 | James Luther Pugh Jr. | Registered Nurse | 4755 Ogletown Stanton Road, Newark, DE 19718-1320 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 364SN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Neonatal |
| Definition to come... |
Please comment or provide details below to improve the information on MAUREEN ANN MOFFETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.