Individual
HALEIGH N MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 S PARK ST STE 405, MADISON, WI 53715-1378
(608) 287-2300
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041408670
IL
363L00000X
Nurse Practitioner
Primary
10663
WI
363LF0000X
Family Nurse Practitioner
209-020083
IL
Other
Enumeration date
09/19/2019
Last updated
01/20/2022
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