Most Relevant Information
Provider Data
| NPI Number: | 1003826421 |
| Provider Name: | ANGELA DOROTHY MOSCHO APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
4801 VETERANS DR
SAINT CLOUD
MN
563032015
Practice Location Phone/Fax
| Phone: | 3202521670 |
| Fax: | 3202556378 |
Provider Mailing Location
4457 FARMDALE CIR
SAINT CLOUD
MN
563019273
Provider Mailing Phone/Fax
| Phone: | 3206560004 |
| Fax: |