Individual
MISS DEBORAH ROSE MOSS-GAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2300 W MASTER ST, PHILADELPHIA, PA 19121-4996
(215) 707-0499
(215) 707-0480
Mailing address
2300 W MASTER ST, PHILADELPHIA, PA 19121-4996
(215) 707-0499
(215) 707-0480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN574461
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010535
PA
Other
Enumeration date
03/09/2010
Last updated
09/27/2019
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