Doctor Name: | MRS. ELIZABETH LORETTO MOSHER |
NPI Number: | 1164408589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 373 |
Business Practice Address: | 209 Moller Ave Sitka, AK - 998357142 |
Business Phone Number: | 9077471723 |
Business Fax Number: | 9077470351 |
Mailing Address: | 617 Biorka St, SITKA |
State: | AK |
Postal Code: | 998357629 |
Phone Number: | 9077473182 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2005 |
NPI Last Update Date: | 06/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |