Provider Demographics
NPI:1053004150
Name:TOSSING, MORIA (RDN, CD)
Entity type:Individual
Prefix:
First Name:MORIA
Middle Name:
Last Name:TOSSING
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N60W22630 SILVER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:WI
Mailing Address - Zip Code:53089-3908
Mailing Address - Country:US
Mailing Address - Phone:414-688-6330
Mailing Address - Fax:
Practice Address - Street 1:N60W22630 SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:WI
Practice Address - Zip Code:53089-3908
Practice Address - Country:US
Practice Address - Phone:414-688-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered