NICHOLE V MOSER PA NPI 1396415675

NPI Information

  • NPI: 1396415675
  • Provider Name: NICHOLE V MOSER, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 5100 N BROOKLINE AVE STE 465
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 917-5336

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NPI Details

Nichole V Moser, PA is a medical physician assistant in Oklahoma City, OK. Nichole V Moser, PA NPI is 1396415675. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5100 N BROOKLINE AVE STE 465
OKLAHOMA CITY, OK
ZIP 73112-625
Phone: (405) 917-5336
Fax: (405) 917-2250

The enumeration date for this NPI number is 9/17/2021 and was last updated on 9/17/2021.

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
1363AM0700XPhysician AssistantMedical4474OKLAHOMAYes

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: 11/21/2025

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