Individual
STEPHANIE YVONNE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 CLAYTON RD STE 216, RICHMOND HEIGHTS, MO 63117-1156
(314) 260-7440
(314) 260-1196
Mailing address
1600 N 2ND ST APT C, SAINT CHARLES, MO 63301-2294
(636) 578-9223
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5379763052
KS
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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