Individual
JOY CHRYSANNE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1818
(502) 584-0166
(502) 584-0144
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 261-2180
(502) 240-6481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2869A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190338
ANTHEM
KY
01
—
0399811
ANTHEM SENIOR
KY
01
—
1108194
PASSPORT
KY
05
—
200197630A
—
KY
Enumeration date
12/05/2006
Last updated
03/17/2009
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