Individual
BRANDON LEE MOSELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4450
Mailing address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4450
(937) 702-4459
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.388552
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP026716
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
APRN.CNP026716
OH
Other
Enumeration date
02/03/2020
Last updated
03/31/2025
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