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NPI Code Detail

MEDICARE: AMY MOSLEY FNP-C, L.AC.

MEDICARE: AMY MOSLEY FNP-C, L.AC.
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
1171100000XAcupuncturist15047CA
2363LF0000XFamily Nurse Practitioner95026437CA

General Provider Information

NPI Number : 1447599972
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY MOSLEY FNP-C, L.AC.
Provider Business Mailing Address
First Line : 2344 6TH ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3075 ADELINE ST STE 280
Second Line :
City : BERKELEY
State : CA
Zip : 94703-2580
Country : US
Telephone Number : 510-981-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2013
Last Update Date : 09/29/2023

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