Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Joseph Moylan Jr., APRN

Individual provider Family Nurse Practitioner · NPI 1407319163

Michael Joseph Moylan Jr., APRN is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2017, 9 years ago. Practices with University Gastroenterology, LLC, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
9
Licensed in
RI
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

148 W River St Ste 3
Providence, RI 02904-2615
Phone: (401) 421-6306
Fax: (401) 453-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN02009 (RI)

Record details

NPI number1407319163
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Gastroenterology, Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Providence