Samantha Moulton, APRN | |
1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2160 | |
(856) 247-7420 | |
(856) 247-7421 |
Full Name | Samantha Moulton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1945 Route 70 E Ste A, Cherry Hill, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962283044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | LG-0012524 (Delaware) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ15311700 (New Jersey) | Primary |
Entity Name | Brandywine Urology Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932132248 PECOS PAC ID: 3577646884 Enrollment ID: O20080211000119 |
Mailing Address | Practice Location Address |
---|---|
Samantha Moulton, APRN 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 247-7420 | Samantha Moulton, APRN 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2160 Ph: (856) 247-7420 |
Mary Jo Donnell, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1935 Route 70 E, Cherry Hill, NJ 08003 Phone: 856-428-7700 | |
Ethan William Garyson Thies, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Kings Hwy S, Cherry Hill, NJ 08034 Phone: 856-209-0447 | |
Laura Hamel, APN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1945 Route 70 E Ste C, Cherry Hill, NJ 08003 Phone: 856-325-3760 Fax: 856-325-3761 | |
Kimberly Borkowski, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Brace Rd Ste C1, Cherry Hill, NJ 08034 Phone: 856-428-4100 Fax: 856-428-5748 | |
Mrs. Maria Theresa Morris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2339 Route 70 W Ste 300, Cherry Hill, NJ 08002 Phone: 856-667-7266 | |
Christina N Carbone, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1865 Marlton Pike E Ste 110, Cherry Hill, NJ 08003 Phone: 215-316-5151 | |
Katrina Kornack, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Kings Hwy N, Cherry Hill, NJ 08034 Phone: 866-389-2727 |