Healthcare Provider Details

I. General information

NPI: 1578492534
Provider Name (Legal Business Name): SYDNEY LYNN MOSES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 INDEPENDENCE PLZ STE 720
BIRMINGHAM AL
35209-2655
US

IV. Provider business mailing address

1936 TREE TOP LN APT A
VESTAVIA HILLS AL
35216-2813
US

V. Phone/Fax

Practice location:
  • Phone: 205-924-3116
  • Fax:
Mailing address:
  • Phone: 850-377-0657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-176256
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-176256
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: