Moss, Lisa Renee

Moss, Lisa Renee is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Moss, Lisa Renee can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606-3571
Phone: (813) 974-2201
Fax: (813) 974-4325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9345389 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010145 Pennsylvania

Profile Details

NPI number 1962539528
LBN Legal business name Moss, Lisa Renee
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated May 17th, 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 1962539528 NPPES
Florida Other Y0F1N BLUE CROSS BLUE SHIELD
Florida MEDICAID 024261100 BLUE CROSS BLUE SHIELD

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