Provider Demographics
NPI:1619763182
Name:MOSE, EUPHEMIA (RN)
Entity type:Individual
Prefix:
First Name:EUPHEMIA
Middle Name:
Last Name:MOSE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 PECOS WAY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7850
Mailing Address - Country:US
Mailing Address - Phone:763-516-4191
Mailing Address - Fax:763-516-4191
Practice Address - Street 1:3528 PECOS WAY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7850
Practice Address - Country:US
Practice Address - Phone:763-516-4191
Practice Address - Fax:763-516-4191
Is Sole Proprietor?:No
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX761979163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator