MS. LISA MOORE, NURSE PRACTITIONER
Nurse Practitioner - Family
Active
Individual
NPI: 1578780961
Practice Address
SIMPLY YOU HEALTH & MEDSPA219 S. WOODDALE AVE.
Eagle, ID 83616
Phone: (208) 994-5576
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | NP 669-A (ID) |
| Nurse Practitioner - Family | 363LF0000X | Yes | NP 669-A (ID) |
Frequently Asked Questions
NPI 1578780961 is the National Provider Identifier for MS. LISA MOORE, NURSE PRACTITIONER, a Nurse Practitioner - Family provider located in Eagle, ID. This NPI was enumerated on April 19, 2007.
MS. LISA MOORE, NURSE PRACTITIONER practices at SIMPLY YOU HEALTH & MEDSPA, 219 S. WOODDALE AVE., Eagle, ID 83616.
Quick Facts
- NPI
- 1578780961
- Type
- Individual
- Enumerated
- Apr 19, 2007
- Last Updated
- Nov 21, 2023
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