person
Stephan Michael Moss
Family Nurse Practitioner in Brigham City, Utah
NPI 1063906857

Stephan Michael Moss is a Family Nurse Practitioner based in Brigham City, UT and is specialized in Family. Stephan Michael Moss practices in Brigham City, UT. The NPI Number for Stephan Michael Moss is 1063906857 and holds a License No. 10566698-3102 (Utah).

The current practice location address for Stephan Michael Moss is 600 W Hospital Rd, Brigham City, UT and can be reached out via phone at 435-734-2041.

Location: 600 W Hospital Rd, Brigham City, UT, 84302-3006
person
Provider Profile Details
NPI Number
1063906857
Provider Name
Stephan Michael Moss
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 W Hospital Rd, Brigham City, UT, 84302-3006
Phone Number
435-734-2041
Fax Number
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10566698-4405 01 UT LICENSE
institution
Provider Business Practice Location Address Details
Address
600 W Hospital Rd
City
State
Zip
84302-3006
Phone Number
435-734-2041
Fax Number
person
Provider Business Mailing Address Details
Address
600 W Hospital Rd
City
State
Zip
84302-3006
Phone Number
435-734-2041
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
10566698-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10566698-3102 (Utah)
Definition
Definition to come...
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