Provider Demographics
NPI:1487858189
Name:MOSCONI, FRANCES ANN (RN; PMHNP-BC (APRN))
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ANN
Last Name:MOSCONI
Suffix:
Gender:F
Credentials:RN; PMHNP-BC (APRN)
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:ANN
Other - Last Name:KARDOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FRANCES KARDOS, RN
Mailing Address - Street 1:4 FULLER ST., RIVER HOSPITAL
Mailing Address - Street 2:RIVER COMMUNITY WELLNESS PROGRAM
Mailing Address - City:ALEXANDRIA BAY
Mailing Address - State:NY
Mailing Address - Zip Code:13607
Mailing Address - Country:US
Mailing Address - Phone:315-482-1277
Mailing Address - Fax:
Practice Address - Street 1:4 FULLER ST., RIVER HOSPITAL
Practice Address - Street 2:RIVER COMMUNITY WELLNESS PROGRAM
Practice Address - City:ALEXANDRIA BAY
Practice Address - State:NY
Practice Address - Zip Code:13607
Practice Address - Country:US
Practice Address - Phone:315-482-1277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3233981163W00000X
NY323398-1163W00000X
NYF401837-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02694746Medicaid
NY02694746NYMedicaid