Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK MOOS, AGPCNP-BC
Active Sole ProprietorDEREK MOOS, AGPCNP-BC is a Primary Care Nurse Practitioner healthcare provider located in SYRACUSE, Utah. NPI 1104658749 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · SYRACUSE, UT
Registration Details
- NPI Number
- 1104658749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2024 (1.9609840675856 yrs)
- Last Updated
- Aug 14, 2024
- License
-
6586693-4405 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2977 WEST2600 SOUTHSYRACUSE, UT, 84075Browse UT providers · Browse ZIP 84075
- Phone
- 8016826170
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.