Provider Demographics
NPI:1265296172
Name:MOSES, SAHILU SEBRIMA (RN, MSN)
Entity type:Individual
Prefix:
First Name:SAHILU
Middle Name:SEBRIMA
Last Name:MOSES
Suffix:
Gender:M
Credentials:RN, MSN
Other - Prefix:
Other - First Name:SAHILU
Other - Middle Name:ABDO
Other - Last Name:MUSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7416 S 56TH LN
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2982
Mailing Address - Country:US
Mailing Address - Phone:623-312-0767
Mailing Address - Fax:
Practice Address - Street 1:7416 S 56TH LN
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2982
Practice Address - Country:US
Practice Address - Phone:623-312-0767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN182439163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse