Stephan Michael Moss
Stephan Michael Moss is a Nurse Practitioner in Brigham City, Utah. Qualified in 2018, 8 years ago. Practices with Brigham Medical Clinic, Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 8
- Licensed in
- UT
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
600 W Hospital RdBrigham City, UT 84302-3006
Phone: (435) 734-2041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1545 Canyon View Dr, Perry, UT 84302-6713 — (480) 773-3969
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 10566698-4405 (UT) |
|---|---|
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence 10566698-3102 (UT) |
Record details
| NPI number | 1063906857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 15, 2018 |
| Last updated in NPPES | November 21, 2018 |
| Mailing address | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Brigham Medical Clinic, Inc. — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Brigham City
-
Tasha Sturdevant, DNP, APRN, FNP-BC
1041 S Medical Dr Ste 200, Brigham City, UT 84302-3293 · (435) 723-5248