Angela Dorothy Moscho
Nurse Practitioner - Gerontology
4801 Veterans Dr
Saint Cloud
, Minnesota 56303-2015
Angela Dorothy Moscho
Nurse Practitioner - Gerontology
4801 Veterans Dr
Saint Cloud
, Minnesota 56303-2015
(320) 656-0004
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Angela Dorothy Moscho
- 4457 Farmdale Cir
- Saint Cloud, MN
- Zip : 56301-9273
- Phone : (320) 656-0004
Second Address
- Angela Dorothy Moscho
- 4801 Veterans Dr
- Saint Cloud, MN
- Zip : 56303-2015
- Fax : (320) 255-6378
- Phone : (320) 252-1670
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | MN |
National Provider Identifier
| NPI | 1003826421 |
|---|---|
| Provider Name | Angela Dorothy Moscho |
| First Address | Saint Cloud, MN 56301-9273 |
| Second Address | Saint Cloud, MN 56303-2015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04-04919 | (02) | MN |
| 142224 | UCARE PROVIDER NUMBER (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.