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NPI Code Detail

MEDICARE: MS. DANA LEA DE MOSS APN

MEDICARE: MS. DANA LEA DE MOSS APN
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
1363LW0102XWomen's Health Nurse PractitionerAPN0000006651TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14187038OTHERTNBCBS OF TN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346241130
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANA LEA DE MOSS APN
Provider Business Mailing Address
First Line : PO BOX 440100
Second Line :
City : NASHVILLE
State : TN
Zip : 37244-0100
Country : US
Telephone Number : 615-329-0570
Fax Number :
Provider Business Practice Location Address
First Line : 4230 HARDING RD
Second Line : STE 201 WEST
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-222-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 06/07/2012

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