Most Relevant Information
Provider Data
| NPI Number: | 1003657974 |
| Provider Name: | JOSIE MOOSMAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 8284539-3102 |
Most Important Dates
| Enumeration Date: | 06/04/2024 |
| Last Updated: | 06/04/2024 |
Provider Practice Location
128 S 300 W
BICKNELL
UT
847157722
Practice Location Phone/Fax
| Phone: | 4354251130 |
| Fax: | 4354251137 |
Provider Mailing Location
128 S 300 W
BICKNELL
UT
847157722
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |