Individual
BRIAN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(651) 238-2295
Mailing address
4805 10TH AVE S, MINNEAPOLIS, MN 55417-1101
(651) 238-2295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 170476-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
083445
MN
Other
Enumeration date
10/28/2009
Last updated
05/25/2022
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