Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Moos, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1104658749

Derek Moos, AGPCNP-BC is a Primary Care Nurse Practitioner in Syracuse, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

2977 W 2600 S
Syracuse, UT 84075
Phone: (801) 682-6170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 6586693-4405 (UT)

Record details

NPI number1104658749
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 11, 2024
Mailing address2977 West, 2600 South, Syracuse, UT 84075