Individual
MRS. MIRANDA ELIZABETH MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1 BURNT CHURCH RD STE A, BLUFFTON, SC 29910-6405
(843) 706-2185
(843) 299-5693
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23205
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6357
—
SC
Enumeration date
09/11/2019
Last updated
04/03/2023
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