Individual
SAMUEL MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
31405 18TH AVE S, FEDERAL WAY, WA 98003-5433
(253) 681-6640
Mailing address
31405 18TH AVE S, FEDERAL WAY, WA 98003-5433
(817) 805-6673
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61335567
WA
Other
Enumeration date
08/09/2022
Last updated
01/26/2024
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