Moser, Carissa Anne

Moser, Carissa Anne is an individual health care provider with primary practice located at 1200 J D Anderson Dr , Morgantown WV 26505-3494. 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Moser, Carissa Anne can be contacted via phone (304) 598-6560.

Contact Information

Primary practice address
1200 J D Anderson Dr Morgantown WV 26505-3494
Fax: (304) 598-6566
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN92044 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN92044 West Virginia

Profile Details

NPI number 1053649723
LBN Legal business name Moser, Carissa Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2009
Last updated Apr 29th, 2016 - about 8 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 1053649723 NPPES
West Virginia MEDICAID 3810029856

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