Individual provider · Type 1 NPI
Kelly Moore, NP
Psychiatric/Mental Health Nurse Practitioner · Boise, ID
NPI number
1104303072
Active
Practice location
703 S Americana Blvd Ste 150
Boise, ID 83702-4976
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice locations
- 3280 E Lanark Dr, Meridian, ID 83642-5982 · (208) 377-4400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 59308 (ID) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 59308 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
9 other providers at this address
- Amanda Clare Williams, MDPsychiatry Physician Boise, ID NPI 1548767924
- Jeralyn Jones, MDPsychiatry Physician Boise, ID NPI 1891731451
- Matthew Rand Lindley, M.S.W.Social Worker Boise, ID NPI 1205914694
- Merrill VelezPsychiatry Physician Boise, ID NPI 1093078073
- Nathan Cody Ellis, LCPCMental Health Counselor Boise, ID NPI 1154609998
- Nikki Rae Cavalero, LPCCounselor Boise, ID NPI 1871336131
- Sandra M. Collantes, LPCMental Health Counselor Boise, ID NPI 1730877135
- Thomas John Orthmeyer Jr., DO, MBAPsychiatry Physician Boise, ID NPI 1396132098
- Travis Emerizy, LMSWClinical Social Worker Boise, ID NPI 1902430028
Other psychiatric/mental health nurse practitioner providers in Boise
- Nancy Jane L'heureux, DNPPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1003282708
- Rebekah G. Fayette, CNM, PMHNPPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1043690175
- Dawn LoceyPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1063162758
- Kathleen Murphy, NPPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1063236099
- Margaret E. Johnson, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1073698692
- Steven Jon Knott, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1093315236
- Brigitta Panther, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1104309657
- Amanda Ashley Stewart, MSN, RN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1124338975
About NPI 1104303072
Kelly Moore, NP's National Provider Identifier is 1104303072, issued on Jul 24, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boise, ID. The record was last updated on Mar 21, 2023.