Individual
MIRANDA MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19905 HIGHWAY 7 STE C1, EXCELSIOR, MN 55331-8158
(612) 616-4382
Mailing address
4737 COUNTY ROAD 101 # 119, MINNETONKA, MN 55345-2634
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2431693
MN
163WH0200X
Home Health Registered Nurse
Primary
2431693
MN
163WI0500X
Infusion Therapy Registered Nurse
2431693
MN
163WW0000X
Wound Care Registered Nurse
2431693
MN
163WX1500X
Ostomy Care Registered Nurse
2431693
MN
Other
Enumeration date
09/05/2017
Last updated
06/16/2018
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