Provider Demographics
NPI:1568691269
Name:MOOSVI, KAREN (PHD, APN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MOOSVI
Suffix:
Gender:F
Credentials:PHD, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CRINE ROAD
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1410
Mailing Address - Country:US
Mailing Address - Phone:732-682-7716
Mailing Address - Fax:
Practice Address - Street 1:28 CRINE ROAD
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1410
Practice Address - Country:US
Practice Address - Phone:732-682-7716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC06020900364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult