Individual
MS. COTIE ELAINE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(443) 675-1360
Mailing address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R250522
MD
363LF0000X
Family Nurse Practitioner
Primary
R250522
MD
Other
Enumeration date
04/19/2025
Last updated
08/17/2025
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