ANGELA DOROTHY MOSCHO APRN NPI 1003826421

NPI Information

NPI: 1003826421
Provider Name: ANGELA DOROTHY MOSCHO, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
4801 VETERANS DR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-1670
Get Directions

Angela Dorothy Moscho, APRN is a gerontology nurse practitioner in Saint Cloud, MN with 22 years of experience. Angela Dorothy Moscho, APRN NPI is 1003826421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

4801 VETERANS DR
SAINT CLOUD, MN
ZIP 56303-015
Phone: (320) 252-1670
Fax: (320) 255-6378

The NPI 1003826421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology		MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04-04919	MEDICARE UPIN	MINNESOTA
2	142224	OTHER	MINNESOTA	UCARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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