Individual provider · Type 1 NPI

Ann Green Moose, MSN, RN, FNP

Family Nurse Practitioner · Statesville, NC

NPI number 1508063355 Active

Practice location

1893 E Broad St # B-4
Statesville, NC 28625-4307

Call (704) 766-1000 Map

Fax (704) 766-1002

Mailing address

1304 Royalty Cir
Statesville, NC 28625-8230

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201248 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1508063355

Ann Green Moose, MSN, RN, FNP's National Provider Identifier is 1508063355, issued on Jun 27, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Statesville, NC. The record was last updated on May 6, 2015.