Individual
MS. LOIS B MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01837
NM
Other
Enumeration date
09/13/2011
Last updated
08/22/2024
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