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

Nathaniel P. Moore, PA

Individual provider Physician Assistant · NPI 1124406178

Nathaniel P. Moore, PA is a Physician Assistant in Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2015.

Licensed in
VT
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 Colchester Ave Uvm Medical Center - Surgery/emergency Dept
Burlington, VT 05401-1473
Phone: (802) 847-2434
Fax: (802) 847-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055.0031256 (VT)

Record details

NPI number1124406178
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESJune 8, 2015
Mailing address111 Colchester Ave., Uvm Medical Center - Surgery/Emergency Dept., Burlington, VT 05401-1473

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