Provider Demographics
NPI:1437177466
Name:MOSEBARGER, TONI A (RN)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:A
Last Name:MOSEBARGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:A
Other - Last Name:NERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15853-1939
Mailing Address - Country:US
Mailing Address - Phone:814-776-0250
Mailing Address - Fax:814-776-1470
Practice Address - Street 1:110 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:PA
Practice Address - Zip Code:15853-1939
Practice Address - Country:US
Practice Address - Phone:814-776-0250
Practice Address - Fax:814-776-1470
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN303027L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health