| Doctor Name: | ANGELA DOROTHY MOSCHO |
| NPI Number: | 1003826421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | |
| Business Practice Address: | 4801 Veterans Dr Saint Cloud, MN - 563032015 |
| Business Phone Number: | 3202521670 |
| Business Fax Number: | 3202556378 |
| Mailing Address: | 4457 Farmdale Cir, SAINT CLOUD |
| State: | MN |
| Postal Code: | 563019273 |
| Phone Number: | 3206560004 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |