Most Relevant Information
Provider Data
| NPI Number: | 1003369828 |
| Provider Name: | JOHNNA MOULTON |
| Entity Type: | Individual |
| Taxonomy Code: | 163WH0200X |
| Specialty: | Registered Nurse |
| License Number: | RN2267416 |
Most Important Dates
| Enumeration Date: | 07/28/2016 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
42 CHESTNUT RD
READING
MA
018672141
Practice Location Phone/Fax
| Phone: | 7816080825 |
| Fax: |
Provider Mailing Location
42 CHESTNUT RD
READING
MA
018672141
Provider Mailing Phone/Fax
| Phone: | 7816080825 |
| Fax: |