SANDRA L. MOSER FNP NPI 1669402004

NPI Information

  • NPI: 1669402004
  • Provider Name: SANDRA L. MOSER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 815 E BROADWAY ST
    BRUNSWICK, MO
    ZIP 65236
  • Phone: (660) 548-3161

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NPI Details

Sandra L. Moser, FNP is a family nurse practitioner in Brunswick, MO. Sandra L. Moser, FNP NPI is 1669402004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

815 E BROADWAY ST
BRUNSWICK, MO
ZIP 65236-468
Phone: (660) 548-3161
Fax: (660) 831-3361

The enumeration date for this NPI number is 7/3/2006 and was last updated on 1/13/2016.

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
1363LF0000XNurse PractitionerFamily125899MISSOURIYes

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
1MA0185010OTHERMISSOURIMEDICARE PTAN
2S55522MEDICARE UPIN
3429676216MEDICAIDMISSOURI

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: 3/30/2025

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