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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831992924

Nicholas Andrew Moore is a Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 662-9300
Fax: (910) 662-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1071 Gables Dr Apt 304, Forest, VA 24551-4783 — (952) 288-5124

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RTL26-0624 (NC)

Record details

NPI number1831992924
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2025
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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