Individual
SANDRA L. MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
815 E BROADWAY ST, BRUNSWICK, MO 65236-1468
(660) 548-3161
(660) 831-3361
Mailing address
815 E BROADWAY ST, BRUNSWICK, MO 65236-1468
(660) 548-3161
(660) 831-3361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125899
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429676216
—
MO
01
—
MA0185010
MEDICARE PTAN
MO
Enumeration date
07/03/2006
Last updated
01/13/2016
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