Individual
SAMANTHA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
749 9TH ST, APT 336, DURHAM, NC 27705-4891
(631) 680-7907
Mailing address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5008164
NC
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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