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MS. GWENDOLYN CALLA MOORE CPNP
NPI 1114267572
Nurse Practitioner - Pediatrics in Norwalk, CT

Active since February 22, 2013
148 EAST AVE STE 3G, NORWALK, CT 06851(203) 838-4034(203) 853-6361 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2024, Jul 14, 2022 (2 updates tracked since 2022).

About Ms. Gwendolyn Calla Moore Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GWENDOLYN CALLA MOORE CPNP (NPI 1114267572) is an individual pediatrics provider in Norwalk, Connecticut, licensed in Connecticut (10129) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1114267572
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. GWENDOLYN CALLA MOORECredential: CPNP
Location Address148 EAST AVE STE 3GNorwalk, CT 06851-5727
Mailing Address148 East Ave Ste 3gNorwalk, CT 06851-5727 · (203) 838-4034 · Fax (203) 853-6351
Phone(203) 838-4034
Fax(203) 853-6361
Sole ProprietorNo
Enumeration DateFebruary 22, 2013
Last NPPES UpdateJune 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1114267572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CT · 10129✔ Licensed in NY · 382340
148 EAST AVE STE 3G, Norwalk, CT 06851
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAORU HARADA M.D.
Allergy & Immunology
148 EAST AVE STE 3G
NORWALK, CT 06851
Western Connecticut Planning Region (203) 838-4034
ELISSA MARIE ACEVEDO CPNP-PC
Nurse Practitioner (Pediatrics)
148 EAST AVE STE 3G
NORWALK, CT 06851
Western Connecticut Planning Region (203) 838-4034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Moore's NPI number?

The NPI number for Gwendolyn Moore is 1114267572. It was assigned to this individual provider in the NPPES registry on February 22, 2013.

Where is Gwendolyn Moore located?

Gwendolyn Moore practices at 148 East Ave Ste 3G, Norwalk, CT 06851. The listed phone number is (203) 838-4034.

What is Gwendolyn Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Moore was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.