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

Derek Moss, BSN, RN

Individual provider Administrator Registered Nurse · NPI 1174201644

Derek Moss, BSN, RN is an Administrator Registered Nurse in Park City, Utah. Licensed in Utah. Registered with an NPI since 2023.

Licensed in
UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

650 Round Valley Dr
Park City, UT 84060-7571
Phone: (435) 333-1504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4828635-3102 (UT)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 4828635-3102 (UT)

Record details

NPI number1174201644
Entity typeIndividual (Type 1)
GenderMale
Credentials BSN , RN
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address650 Round Valley Dr, Park City, UT 84060-7571

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