Individual
PORCHA MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1484 STRAITS DR STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
Mailing address
1484 STRAITS DR STE 5, BAY CITY, MI 48706-8718
(989) 667-8740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704291470
MI
363LG0600X
Gerontology Nurse Practitioner
4704291470
MI
Other
Enumeration date
05/18/2017
Last updated
03/17/2018
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