# SALOME MOSSES

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

## Provider details

- **NPI number:** 1013675883
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1058998 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 70213 | ID | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61301494 | WA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2304305 | MA | — |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 06/06/2023