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Individual

LAUREN NICOLE MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5901 RILEY PARK DR STE B, FORT SMITH, AR 72916-6104
(479) 763-3050
Mailing address
5901 RILEY PARK DR STE B, FORT SMITH, AR 72916-6104
(479) 763-3050

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216084
AR

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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