Individual provider · Type 1 NPI

Emily Theresa Moore, NURSE PRACTITIONER

Nurse Practitioner · Boise, ID

NPI number 1013048289 Active

Practice location

707 N Armstrong Pl
Boise, ID 83704-0825

Fax (208) 327-8579

Mailing address

7096 Big Foot Rd
Melba, ID 83641-5074

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP112A (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013048289

Emily Theresa Moore, NURSE PRACTITIONER's National Provider Identifier is 1013048289, issued on Mar 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.