Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marty Jo Moore, RN

Individual provider Counselor · NPI 1033708623

Marty Jo Moore, RN is a Counselor in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2020 W Spaulding St
Boise, ID 83705-3551
Phone: (208) 721-2045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1033708623
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 18, 2021
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

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