Individual
SHEILA DIANE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11100 HEFNER POINTE DR STE A, OKLAHOMA CITY, OK 73120-5049
(405) 839-7340
(405) 839-7341
Mailing address
11326 NW 121ST PL, YUKON, OK 73099-8141
(405) 202-6913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54738
OK
Other
Enumeration date
03/25/2019
Last updated
12/21/2021
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