Individual
MRS. CARISSA ANNE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-6560
(304) 598-6566
Mailing address
PO BOX 1615, MORGANTOWN, WV 26507-1615
(304) 598-6560
(304) 598-6566
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN92044
WV
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN92044
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810029856
—
WV
Enumeration date
11/18/2009
Last updated
04/29/2016
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