Individual
LISA Z MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5247
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5247
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP025473
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
04/16/2009
Last updated
09/15/2022
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