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NPI Code Detail

MEDICARE: MS. BETH H MOSES

MEDICARE: MS. BETH H MOSES
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistRN228813-LPA

General Provider Information

NPI Number : 1053537738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BETH H MOSES
Provider Business Mailing Address
First Line : 200 EAGLES CT
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-9773
Country : US
Telephone Number : 570-422-1111
Fax Number : 570-422-1484
Provider Business Practice Location Address
First Line : 1 WASHINGTON ST
Second Line : THIRD FLOOR
City : EAST STROUDSBURG
State : PA
Zip : 18301-2816
Country : US
Telephone Number : 570-426-7150
Fax Number : 570-426-9484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/08/2007

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