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

Individual provider Medical Physician Assistant · NPI 1396415675

Nichole V Moser, PA is a Medical Physician Assistant in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5100 N Brookline Ave Ste 465
Oklahoma City, OK 73112-3625
Phone: (405) 917-5336
Fax: (405) 917-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4474 (OK)

Record details

NPI number1396415675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

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