Provider Demographics
NPI:1457024101
Name:MOSER, EMILY PAULINE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:PAULINE
Last Name:MOSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-4953
Mailing Address - Country:US
Mailing Address - Phone:330-247-8114
Mailing Address - Fax:
Practice Address - Street 1:2820 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-4953
Practice Address - Country:US
Practice Address - Phone:330-247-8114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant