Provider Demographics
NPI:1619213410
Name:MOSES, RITA KAYE (RN)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:KAYE
Last Name:MOSES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 SOUTH CONCORD STREET
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108
Mailing Address - Country:US
Mailing Address - Phone:206-252-8100
Mailing Address - Fax:206-252-8101
Practice Address - Street 1:723 S CONCORD ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-4641
Practice Address - Country:US
Practice Address - Phone:206-252-8100
Practice Address - Fax:206-252-8101
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00076710163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool