Tonya D. Moser, RN

Individual provider Active NPI Registered Nurse · Church Hill, TN

NPI 1215079009 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215079009
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN0000146179 (TN)
Practice address
247 Silver Lake Rd
Church Hill, TN 37642-3516
Phone
(423) 357-5341
Fax
(423) 357-2231
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000146179TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000146179 TN Yes

Addresses

Primary practice location

247 Silver Lake Rd
Church Hill, TN 37642-3516

Mailing address

PO Box 148
Church Hill, TN 37642-0148
Phone (423) 357-1719

Other providers in Church Hill, TN

All providers in Church Hill, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.