Moss, Derek

Moss, Derek is an individual health care provider with primary practice located at 650 Round Valley Dr , Park City UT 84060-7571. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Moss, Derek can be contacted via phone (435) 333-1504.

Contact Information

Primary practice address
650 Round Valley Dr Park City UT 84060-7571
Phone: (435) 333-1504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 4828635-3102 Utah
Nursing Service Providers / Registered Nurse 163W00000X 4828635-3102 Utah

Profile Details

NPI number 1174201644
LBN Legal business name Moss, Derek
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2023
Last updated Jul 6th, 2023 - about 2 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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