| Doctor Name: | SUSAN ELIZABETH MOSER |
| NPI Number: | 1154679314 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 2012024963 |
| Business Practice Address: | 1400 Us Highway 61 Suite G20 Festus, MO - 630284100 |
| Business Phone Number: | 6369338091 |
| Business Fax Number: | 6369338090 |
| Mailing Address: | 8210 Hallie Ln, BONNE TERRE |
| State: | MO |
| Postal Code: | 636281369 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2012 |
| NPI Last Update Date: | 08/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2012024963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |