Moss, Nicole Juliana

Moss, Nicole Juliana is an individual health care provider with primary practice located at 2931 N Tenaya Way Suite 204, Las Vegas NV 89128-0456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moss, Nicole Juliana can be contacted via phone (702) 233-2123.

Contact Information

Primary practice address
2931 N Tenaya Way Suite 204 Las Vegas NV 89128-0456
Phone: (702) 233-2123
Fax: (702) 233-0398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9708 Nevada

Profile Details

NPI number 1821060856
LBN Legal business name Moss, Nicole Juliana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Oct 1st, 2009 - about 15 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 1821060856 NPPES
Nevada MEDICAID 2018759
Nevada MEDICAID 3102759

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