Mose, Andrea L

Mose, Andrea L is an individual health care provider with primary practice located at 1520 Wentzville Pkwy , Wentzville MO 63385-3408. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mose, Andrea L can be contacted via phone (636) 497-4000.

Contact Information

Primary practice address
1520 Wentzville Pkwy Wentzville MO 63385-3408
Phone: (636) 497-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 146573 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017029848 Missouri

Profile Details

NPI number 1275741266
LBN Legal business name Mose, Andrea L
Credentials FNP, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Nov 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275741266 NPPES
Missouri MEDICAID 427357900
Missouri Other P01135333

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