# DENVER MOSES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003607961
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 40135 | TN | Yes |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | 4704427620 | MI | Yes |

## Other

- **Enumeration date:** 05/13/2025
- **Last updated:** 01/14/2026