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

MS. Lisa June Moore, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1578780961

MS. Lisa June Moore, NURSEPRACTITIONER is a Nurse Practitioner in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

Simply You Health & Medspa 219 S Wooddale Ave
Eagle, ID 83616
Phone: (208) 994-5576
Fax: (208) 529-6428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP 669-A (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence NP 669-A (ID)

Record details

NPI number1578780961
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESNovember 21, 2023

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