Individual
GLORIA MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
032777
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30008021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00958037
RAILROAD MEDICARE
WA
01
—
RNA0192
ALASKA MEDICAID
AK
Enumeration date
03/04/2010
Last updated
07/23/2013
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