Individual
SERENA NICHOLE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN230692
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
1-118810
AL
Other
Enumeration date
09/20/2013
Last updated
06/28/2023
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