Individual
MS. MARY ELDONNA MOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-6767
(719) 336-7217
Mailing address
403 KENDALL DR, LAMAR, CO 81052-3953
(719) 336-6767
(719) 336-7217
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
39130
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01185888
—
CO
Enumeration date
07/03/2006
Last updated
08/18/2014
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