Individual
REBECCA MGBENKONYE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 ELLIOTT AVE W, SEATTLE, WA 98119-4236
(425) 578-5144
Mailing address
101 ELLIOTT AVE W, SEATTLE, WA 98119-4236
(425) 578-5144
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023190554
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61678867
WA
Other
Enumeration date
12/18/2023
Last updated
07/10/2025
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