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

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