Healthcare Provider Details

I. General information

NPI: 1457854085
Provider Name (Legal Business Name): TRANESHA ELAINE MOSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2018
Last Update Date: 03/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 SAVANNAH RD
LEWES DE
19960
US

IV. Provider business mailing address

9268 S MAYHEW DR
LINCOLN DE
19960-2723
US

V. Phone/Fax

Practice location:
  • Phone: 302-260-2258
  • Fax:
Mailing address:
  • Phone: 302-260-2258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberL1-0051813
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: