Mrs. Emily Theresa Moore
Nurse Practitioner
707 N Armstrong Pl
Boise
, Idaho 83704-0825
Mrs. Emily Theresa Moore
Nurse Practitioner
707 N Armstrong Pl
Boise
, Idaho 83704-0825
(208) 495-1500
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Emily Theresa Moore
- 7096 Big Foot Rd
- Melba, ID
- Zip : 83641-5074
- Phone : (208) 495-1500
Second Address
- Mrs. Emily Theresa Moore
- 707 N Armstrong Pl
- Boise, ID
- Zip : 83704-0825
- Fax : (208) 327-8579
- Phone : (208) 327-7400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP112A | ID |
National Provider Identifier
| NPI | 1013048289 |
|---|---|
| Provider Name | Mrs. Emily Theresa Moore |
| First Address | Melba, ID 83641-5074 |
| Second Address | Boise, ID 83704-0825 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.