Individual
DIANE M MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6600
Mailing address
7054 W LEXI LOOP LN, WEST JORDAN, UT 84081-5981
(928) 587-6416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN067056
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
10919566-4405
UT
Other
Enumeration date
07/21/2006
Last updated
10/24/2021
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