Organization · Type 2 NPI
Moscow Family Medical,llc
Family Nurse Practitioner · Moscow, TN
NPI number
1548828304
Active
Practice location
13775 Highway 57 Ste 4
Moscow, TN 38057-3802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1548828304
Moscow Family Medical,llc's National Provider Identifier is 1548828304, issued on Jun 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moscow, TN. The record was last updated on Jun 18, 2019.