Individual
PAMELA CRAWFORD MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP,DNP
Contact information
Practice address
951 WENDOVER HEIGHT DR, SHELBY, NC 28150-3565
(704) 487-4677
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(980) 295-8574
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140252
NC
363L00000X
Nurse Practitioner
5012571
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5012571
NC
Other
Enumeration date
11/22/2019
Last updated
04/28/2023
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