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NPI Code Detail

MEDICARE: MS. DIANA EUGENIA MOSER ARNP FNP-BC

MEDICARE: MS. DIANA EUGENIA MOSER ARNP FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP30004523WA
2363LP2300XPrimary Care Nurse PractitionerAP30004523WA

General Provider Information

NPI Number : 1154329555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANA EUGENIA MOSER ARNP FNP-BC
Provider Business Mailing Address
First Line : 511 W HERON ST
Second Line :
City : ABERDEEN
State : WA
Zip : 98520-6022
Country : US
Telephone Number : 564-544-1950
Fax Number : 564-544-1938
Provider Business Practice Location Address
First Line : 511 W HERON ST
Second Line :
City : ABERDEEN
State : WA
Zip : 98520-6022
Country : US
Telephone Number : 564-544-1950
Fax Number : 564-544-1938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2005
Last Update Date : 02/03/2026

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Directions to “ MS. DIANA EUGENIA MOSER ARNP FNP-BC” Practice Location

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