Individual
ANDREW MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
20046 WALKER RD STE 7, SHAKER HEIGHTS, OH 44122-3645
(888) 288-4715
(833) 260-2594
Mailing address
111 SW NAITO PKWY STE 200, PORTLAND, OR 97204-3512
(888) 288-4715
(833) 260-2594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10019107
OR
363LF0000X
Family Nurse Practitioner
5008610
NC
363LF0000X
Family Nurse Practitioner
APRN.CNP.025844
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10019107
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.025844
OH
Other
Enumeration date
06/13/2016
Last updated
07/03/2024
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