Individual
MARLA J MOSELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
25188 MARION AVE, VILLA 21, PUNTA GORDA, FL 33950-4103
(941) 575-2918
(941) 575-2918
Mailing address
25188 MARION AVE, VILLA 21, PUNTA GORDA, FL 33950-4103
(941) 575-2918
(941) 575-2918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2600532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3657Y
MEDICARE
FL
Enumeration date
10/27/2005
Last updated
12/03/2007
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