Individual
MOZIE VAN RAAIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.533322
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0042287
OH
Other
Enumeration date
05/04/2026
Last updated
06/01/2026
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