Individual
ANDREA DAWN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6A BANK ST, NITRO, WV 25143-1708
(304) 306-3058
(304) 306-3059
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN61718NP-C
WV
Other
Enumeration date
01/03/2019
Last updated
12/30/2021
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