Organization
NATHAN MOSS AGACNP-BC PLLC
Active
Organization
NATHAN MOSS AGACNP-BC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN A MOSS AGACNP-BC (NP)
(208) 818-6181
Entity
Organization
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(208) 818-6181
Mailing address
2467 S CLIFFVIEW ST, FLAGSTAFF, AZ 86001-2989
(208) 818-6181
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8631
AZ
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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