Individual
MRS. ELAINA SUSAN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(865) 342-8900
Mailing address
4301 MANOR FIELD WAY APT 104, RALEIGH, NC 27612-3776
(763) 228-0783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1695582
MN
367500000X
Certified Registered Nurse Anesthetist
083446
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
764
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053817
—
NC
Enumeration date
10/28/2009
Last updated
07/21/2022
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