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Individual

JAMIE MOSKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2874
(520) 327-5461
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN156191
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11622
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
451425
AZ
Enumeration date
03/23/2018
Last updated
09/16/2021
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