Individual
KIMBERLY R MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
77 NEALY AVENUE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-6840
Mailing address
RAF LAKENHEATH 48 MDG/SGHC, UNIT 5115, APO, AE 09461-5115
(314) 266-8602
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024170986
VA
Other
Enumeration date
11/19/2012
Last updated
04/27/2018
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