Moss, Meredith A
Moss, Meredith A is an individual health care provider with primary practice located at 2802 N Alvernon Way Ste 200 , Tucson AZ 85712-1500. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moss, Meredith A can be contacted via phone (520) 326-0850.Contact Information
Primary practice address
2802 N Alvernon Way Ste 200
Tucson AZ 85712-1500
Phone: (520) 326-0850
Fax: (520) 326-0849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA880 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2008-0068 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 714 | Alaska |
Profile Details
| NPI number | 1043207756 |
|---|---|
| LBN Legal business name | Moss, Meredith A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jan 18th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043207756 | NPPES |
| New Mexico | MEDICAID | 30179521 |
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