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Individual

MS. DANA LEA DE MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4230 HARDING RD, STE 201 WEST, NASHVILLE, TN 37205-2013
(615) 222-5200
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN0000006651
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39031111
TN
01
4187038
BCBS OF TN
TN
Enumeration date
08/03/2005
Last updated
06/07/2012
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