1659693026 NPI number — TRICIA MOSHER CONSULTING, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659693026 NPI number — TRICIA MOSHER CONSULTING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRICIA MOSHER CONSULTING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659693026
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
720 CLIFTON HILLS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32828-6644
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
321-278-6359
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
720 CLIFTON HILLS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32828-6644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-278-6359
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MOSHER
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
LYNNE
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
321-278-6359

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW7725 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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