Provider Demographics
NPI:1497463731
Name:MOSER, TAYLER DEVON (CRNP)
Entity type:Individual
Prefix:
First Name:TAYLER
Middle Name:DEVON
Last Name:MOSER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-368-5566
Mailing Address - Fax:570-368-5564
Practice Address - Street 1:10 CHOATE CIR
Practice Address - Street 2:
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-9791
Practice Address - Country:US
Practice Address - Phone:570-368-5566
Practice Address - Fax:570-368-5564
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN694842163W00000X
PASP027327363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse