Individual
LESLIE S. MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
520 KANSAS CITY ST STE 102, RAPID CITY, SD 57701-2766
(605) 716-3609
(605) 716-3707
Mailing address
520 KANSAS CITY ST STE 102, RAPID CITY, SD 57701-2766
(605) 716-3609
(605) 716-3707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001302
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP001302
SD
Other
Enumeration date
11/02/2017
Last updated
04/28/2026
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