Individual
MARGARIE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 277-9108
(574) 272-9290
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 277-9108
(574) 272-9290
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71008371A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28149218A
RN LICENSE
IN
Enumeration date
01/08/2018
Last updated
09/25/2023
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