Individual
ANGELA DOROTHY MOSCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
(320) 255-6378
Mailing address
4457 FARMDALE CIR, SAINT CLOUD, MN 56301-9273
(320) 656-0004
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142224
UCARE PROVIDER NUMBER
MN
Enumeration date
08/08/2006
Last updated
07/09/2007
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