Davia Gaelin Moss, NP
Nurse Practitioner, Family in Syracuse, NY. Individual provider (NPI-1).
NPI number1013469873
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1013469873
- Entity type
- Individual (NPI-1)
- Name
- Davia Gaelin Moss
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2016
- Certification date
- Oct 13, 2025
- Last updated
- Oct 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F340815 | NY | Yes |
| 163W00000X | Registered Nurse | 645775 | NY |
Practice location
725 E Adams St Fl 4Syracuse, NY 13210-2576
Phone 315-464-5831 · Fax 314-464-2030
Mailing address
725 E Adams St Fl 4Syracuse, NY 13210-2576
Fax 314-464-2030
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