Mrs. Emily Theresa Moore, NURSEPRACTITIONER
Mrs. Emily Theresa Moore, NURSEPRACTITIONER is a Nurse Practitioner in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
707 N Armstrong PlBoise, ID 83704-0825
Phone: (208) 327-7400
Fax: (208) 327-8579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence NP112A (ID) |
|---|
Record details
| NPI number | 1013048289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2007 |
| Last updated in NPPES | July 8, 2007 |
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