MEDICARE: CAROLINE MOSHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	R263751	MD

General Provider Information

NPI Number	:	1619543071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE MOSHER

Provider Business Mailing Address
First Line	:	500 NATURE LN
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-7769
Country	:	US
Telephone Number	:	703-400-1214
Fax Number	:

Provider Business Practice Location Address
First Line	:	4494 PALMER RD N
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814
Country	:	US
Telephone Number	:	301-295-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	04/07/2026

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