# NICOLE J. MOSS, M.D., LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952589541
- **Authorized official:** DR. NICOLE JULIANA MOSS M.D. (LLC MANAGING MEMBER)
- **Authorized official phone:** (702) 242-2782

## Contact information

- **Practice address:** 2931 N TENAYA WAY, SUITE 204, LAS VEGAS, NV 89128-0456
- **Practice address phone:** (702) 233-2123
- **Practice address fax:** (702) 233-0398
- **Mailing address:** 2931 N TENAYA WAY, SUITE 204, LAS VEGAS, NV 89128-0456
- **Mailing address phone:** (702) 233-2123
- **Mailing address fax:** (702) 233-0398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 9708 | NV | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 10/01/2009