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Individual
DENVER MOSES
Active
Individual
DENVER MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
40135
TN
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
4704427620
MI
Other
Enumeration date
05/13/2025
Last updated
01/14/2026
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