MRS. Emily Theresa Moore, NURSE PRACTITIONER

NPI #1013048289 in Boise, Idaho

Provider Information

NPI Number
1013048289
Entity Type
Individual
Name
MRS. Emily Theresa Moore, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NURSE PRACTITIONER
Enumeration Date
Mar 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
707 N ARMSTRONG PL
City
Boise
State
Idaho
ZIP Code
83704-0825
Phone
(208) 327-7400

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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