Mr Connell Mosley Sr, LPN is a
Licensed Practical Nurse based in Slidell, Louisiana. Mr Connell Mosley Sr is licensed to practice in Louisiana (license number 20162552) and his current practice location is
966 Maple Creek Dr, Slidell, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(904) 434-1356.
NPI number for Mr Connell Mosley Sr is 1700361854 and his current mailing address is 966 Maple Creek Dr, Slidell, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700361854.
Healthcare Provider's Profile
Full Name | Mr Connell Mosley Sr |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 966 Maple Creek Dr, Slidell, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700361854
- Provider Enumeration Date: 09/25/2018
- Last Update Date: 09/27/2018
Medical Identifiers
Medical identifiers for Mr Connell Mosley Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700361854 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
174H00000X | Health Educator | (* (Not Available)) | Secondary |
372600000X | Adult Companion | (* (Not Available)) | Secondary |
376J00000X | Homemaker | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | 20162552 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Connell Mosley Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Connell Mosley Sr, LPN 966 Maple Creek Dr, Slidell, LA 70461-5340 Ph: (904) 434-1356 | Mr Connell Mosley Sr, LPN 966 Maple Creek Dr, Slidell, LA 70461-5340 Ph: (904) 434-1356 |
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