Individual
NATHAN ALAN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1215 N BEAVER ST, FLAGSTAFF, AZ 86001-3126
(928) 773-2200
(928) 773-2151
Mailing address
2467 S CLIFFVIEW ST, FLAGSTAFF, AZ 86001-2989
(208) 818-6181
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP8631
AZ
Other
Enumeration date
08/11/2016
Last updated
08/26/2019
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