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NPI Code Detail

MEDICARE: MRS. LEILA DENISE MOSER APRN

MEDICARE:  MRS. LEILA DENISE MOSER  APRN
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
1363L00000XNurse PractitionerAPRN.CNP.06645OH
2363LA2200XAdult Health Nurse PractitionerNP06645OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871592980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEILA DENISE MOSER APRN
Provider Business Mailing Address
First Line : 55 ARCH ST
Second Line :
City : AKRON
State : OH
Zip : 44304-1436
Country : US
Telephone Number : 330-375-3315
Fax Number :
Provider Business Practice Location Address
First Line : 55 ARCH ST
Second Line :
City : AKRON
State : OH
Zip : 44304-1423
Country : US
Telephone Number : 330-375-3315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 02/27/2020

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Directions to “ MRS. LEILA DENISE MOSER APRN” Practice Location

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