Provider Demographics
NPI:1134632698
Name:MOSES, FALMA (CNA CMA)
Entity type:Individual
Prefix:
First Name:FALMA
Middle Name:
Last Name:MOSES
Suffix:
Gender:F
Credentials:CNA CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 ARLINGTON EXPY APT 2611
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-6875
Mailing Address - Country:US
Mailing Address - Phone:404-247-4458
Mailing Address - Fax:
Practice Address - Street 1:5350 ARLINGTON EXPY APT 2611
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-6875
Practice Address - Country:US
Practice Address - Phone:404-247-4458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 374U00000X
FLCNA328432376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide