Individual ProviderGloria MoellerNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Seattle, WA 98101-2756(206) 223-6980(206) 515-5811PECOS EnrollmentBased on the most recent information from CMS, provider Gloria Moeller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1316260359Provider TypeIndividualFull NameMoeller, GloriaCredentialCRNAGenderFemaleSole ProprietorYesEnumeration Date3/4/2010Last Updated7/23/2013Contact InformationPractice LocationPractice Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 223-6980Fax(206) 223-6982Mailing LocationMailing Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 515-5811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP30008021WashingtonCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense032777IllinoisProvider IdentifiersIDDescriptionIssuerIDRNA0192DescriptionOtherIssuerALASKA MEDICAIDAlaskaIDP00958037DescriptionOtherIssuerRAILROAD MEDICAREWashington