Moulton, Tracie
Moulton, Tracie is an individual health care provider with primary practice located at 55 Route 130 , Forestdale MA 02644-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moulton, Tracie can be contacted via phone (508) 477-5306.Contact Information
Primary practice address
55 Route 130
Forestdale MA 02644-1402
Phone: (508) 477-5306
Fax: (508) 477-0297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 2299689 | Massachusetts |
Profile Details
| NPI number | 1992043897 |
|---|---|
| LBN Legal business name | Moulton, Tracie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2013 |
| Last updated | Jun 12th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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