Provider Demographics
NPI:1376935015
Name:MOOS, ANNE MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:MOOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15 MCCABE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5924
Mailing Address - Country:US
Mailing Address - Phone:775-853-7669
Mailing Address - Fax:855-313-0186
Practice Address - Street 1:15 MCCABE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-5924
Practice Address - Country:US
Practice Address - Phone:775-853-7669
Practice Address - Fax:855-313-0186
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN001613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily