Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan Moise, FNP, PMHNP

Individual provider Family Nurse Practitioner · NPI 1306309190

Nathan Moise, FNP, PMHNP is a Nurse Practitioner in Port Saint Lucie, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2250 SW Gatlin Blvd
Port Saint Lucie, FL 34953-2753
Phone: (772) 877-7204
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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 11014577 (FL)

Record details

NPI number1306309190
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP , PMHNP
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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