Individual
BRIDGET L MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2706
(434) 924-9068
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024168891
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205144805
—
VA
Enumeration date
09/16/2010
Last updated
07/29/2021
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