Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 0024175596 | VA |
NPI | 1366955759 |
---|---|
Provider Name | Ms. Josie Lynn Moskal |
First Address | Stephens City, VA 22655-5647 |
Second Address | Winchester, VA 22601-2808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2017 |
Last Update Date | 02/04/2021 |