Individual
REAGAN MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 278-8800
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201318730
—
IN
Enumeration date
06/28/2015
Last updated
04/30/2019
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