Most Relevant Information
Provider Data
| NPI Number: | 1003596248 |
| Provider Name: | SHELBY DESORAY MOSES MSN, APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1126685 |
Most Important Dates
| Enumeration Date: | 07/21/2023 |
| Last Updated: | 07/21/2023 |
Provider Practice Location
4185 TECHNOLOGY FOREST BLVD STE 155
THE WOODLANDS
TX
773812006
Practice Location Phone/Fax
| Phone: | 9726612273 |
| Fax: |
Provider Mailing Location
3806 WILLOW VALLEY CT
CONROE
TX
773012298
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |