Individual
MS. ANDREA L MOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, WHNP
Contact information
Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4755
(636) 237-4133
Mailing address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 735-4755
(636) 237-4133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017029848
MO
363LW0102X
Women's Health Nurse Practitioner
146573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427357900
—
MO
01
—
P01135333
RAILROAD MEDICARE
MO
Enumeration date
05/21/2007
Last updated
01/28/2026
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