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NPI Code Detail

MEDICARE: MARY A MOSES

MEDICARE:   MARY A 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
1163W00000XRegistered NurseRN.530029OH

General Provider Information

NPI Number : 1669306213
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY A MOSES
Provider Business Mailing Address
First Line : 130 E WILSON BRIDGE RD STE 308
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-2391
Country : US
Telephone Number : 614-598-5078
Fax Number :
Provider Business Practice Location Address
First Line : 130 E WILSON BRIDGE RD STE 308
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-2391
Country : US
Telephone Number : 614-598-5078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ MARY A MOSES ” Practice Location

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