Brandi Lee Moss, NP
NPI #1922725746 in Malad City, Idaho
Provider Information
- NPI Number
- 1922725746
- Entity Type
- Individual
- Name
- Brandi Lee Moss, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Aug 7, 2024
Practice Location
- Address
- 220 BANNOCK ST
- City
- Malad City
- State
- Idaho
- ZIP Code
- 83252-5068
- Phone
- (208) 766-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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