Individual
COREEN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-7466
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-2503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025006
OH
Other
Enumeration date
08/14/2019
Last updated
09/02/2022
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