Healthcare Provider Details

I. General information

NPI: 1447313226
Provider Name (Legal Business Name): BARBARA L. TRAPP-MOEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 SKY LANE DR
DURHAM NC
27704-3953
US

IV. Provider business mailing address

PO BOX 61447
DURHAM NC
27715-1447
US

V. Phone/Fax

Practice location:
  • Phone: 919-682-0323
  • Fax:
Mailing address:
  • Phone: 919-219-8546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number600023
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number600023
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: