Individual
NICOLE JULIANA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2931 N TENAYA WAY, SUITE 204, LAS VEGAS, NV 89128-0456
(702) 233-2123
(702) 233-0398
Mailing address
2931 N TENAYA WAY, SUITE 204, LAS VEGAS, NV 89128-0456
(702) 233-2123
(702) 233-0398
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9708
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018759
—
NV
05
—
3102759
—
NV
Enumeration date
02/03/2006
Last updated
10/01/2009
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