Provider Demographics
NPI:1114549607
Name:MOSKAL, NANCY KARIN (RN, NNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:KARIN
Last Name:MOSKAL
Suffix:
Gender:F
Credentials:RN, NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DALE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2007
Mailing Address - Country:US
Mailing Address - Phone:413-896-4629
Mailing Address - Fax:
Practice Address - Street 1:7 DALE ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2007
Practice Address - Country:US
Practice Address - Phone:413-896-4629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN239064163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care