Provider Demographics
NPI:1679357529
Name:EIMERS-MOSIER, ERIC HARLAN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:HARLAN
Last Name:EIMERS-MOSIER
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:HARLAN
Other - Last Name:EIMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 SW 38TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-6921
Mailing Address - Country:US
Mailing Address - Phone:580-250-2609
Mailing Address - Fax:580-355-1211
Practice Address - Street 1:502 SW 38TH ST
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6921
Practice Address - Country:US
Practice Address - Phone:580-353-9115
Practice Address - Fax:580-355-1211
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK214707363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health