Individual
DORIS MARIE MOSBY-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5200 SPRUCE AVE, KANSAS CITY, MO 64130-3048
(816) 665-6124
Mailing address
5200 SPRUCE AVE, KANSAS CITY, MO 64130-3048
(816) 665-6124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017000664
MO
363LF0000X
Family Nurse Practitioner
201701
OK
363LF0000X
Family Nurse Practitioner
53-77041-011
KS
363LF0000X
Family Nurse Practitioner
GAA-NP000268
GA
363LP2300X
Primary Care Nurse Practitioner
2017000664
MO
Other
Enumeration date
01/11/2017
Last updated
07/18/2023
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