Doctor Name: | MS. DIANA EUGENIA MOSER |
NPI Number: | 1154329555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP FNP-BC |
License Number: | AP30004523 |
Business Practice Address: | 716 1st Ave S Okanogan, WA - 988409679 |
Business Phone Number: | 5094225700 |
Business Fax Number: | 5094227680 |
Mailing Address: | 716 1st Ave S, OKANOGAN |
State: | WA |
Postal Code: | 988409679 |
Phone Number: | 5094225700 |
Fax Number: | 5094227680 |
NPI Enumeration Date: | 07/09/2005 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30004523 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |