Individual
ZACHARY EARL MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4000
Mailing address
2519 TOLL GATE RD NE APT A, HUNTSVILLE, AL 35801-1529
(256) 677-2881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-136500
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-136500
AL
363LG0600X
Gerontology Nurse Practitioner
1-136500
AL
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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