Individual
NANCY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 301-2066
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3001245
KY
367A00000X
Advanced Practice Midwife
Primary
3001245
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2659565
—
OH
05
—
78015807
—
KY
Enumeration date
10/12/2006
Last updated
08/31/2011
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