Provider Demographics
NPI:1477338705
Name:MOSCO, OLIVIA ELIZABETH (CRNP)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ELIZABETH
Last Name:MOSCO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:ELIZABETH
Other - Last Name:KADING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1186 WALNUT BOTTOM RD STE 10
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9578
Mailing Address - Country:US
Mailing Address - Phone:717-988-8200
Mailing Address - Fax:
Practice Address - Street 1:1186 WALNUT BOTTOM RD STE 10
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9578
Practice Address - Country:US
Practice Address - Phone:717-988-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP028001363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health