Individual
EDNA MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
686 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1604
(606) 549-5052
(606) 549-2718
Mailing address
686 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1604
(606) 549-5052
(606) 549-2718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007437
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100209220
—
KY
Enumeration date
05/16/2012
Last updated
08/14/2017
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