Doctor Name: | MS. BETH H MOSES |
NPI Number: | 1053537738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN228813-L |
Business Practice Address: | 1 Washington St Third Floor East Stroudsburg, PA - 183012816 |
Business Phone Number: | 5704267150 |
Business Fax Number: | 5704269484 |
Mailing Address: | 200 Eagles Ct, STROUDSBURG |
State: | PA |
Postal Code: | 183609773 |
Phone Number: | 5704221111 |
Fax Number: | 5704221484 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | RN228813-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |