Dr KHAMPHOU MANIVANH MOSLEY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
ST LUCIE MEDICAL SPECIALISTS LLC
1713 US HWY 441 N
SUITE C
OKEECHOBEE
FL
349721900
Tel: 8634672159
Npi | 1093205049 |
Pac Id | 2668723842 |
Professional Enrollment Id | I20190614000402 |
Last Name | MOSLEY |
First Name | KHAMPHOU |
Middle Name | MANIVANH |
Suffix | |
Gender | F |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | ST LUCIE MEDICAL SPECIALISTS LLC |
Group Practice Pac Id | 1456430487 |
Number Of Group Practice Members | 34 |
Line 1 Street Address | 1713 US HWY 441 N |
Line 2 Street Address | SUITE C |
Marker Of Address Line 2 Suppression | |
City | OKEECHOBEE |
State | FL |
Zip Code | 349721900 |
Phone Number | 8634672159 |
Hospital Affiliation Ccn 1 | |
Hospital Affiliation Lbn 1 | |
Hospital Affiliation Ccn 2 | |
Hospital Affiliation Lbn 2 | |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.