Provider Demographics
NPI:1962621680
Name:MOSHIER, KRISTIN (RN, MSN, AOCN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:MOSHIER
Suffix:
Gender:F
Credentials:RN, MSN, AOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 N SEELEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-8211
Mailing Address - Country:US
Mailing Address - Phone:773-702-0891
Mailing Address - Fax:773-702-1709
Practice Address - Street 1:5841 S MARYLAND AVE # 2115
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-0891
Practice Address - Fax:773-702-1709
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology