Individual
MR. NELS CARLOS MOSS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1 HOSPITAL DR., COLUMBIA, MO 65212-6521
(573) 882-2121
Mailing address
1841 CLIFF DR, COLUMBIA, MO 65201-6069
(573) 882-2121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020023487
MO
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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