Individual provider · Type 1 NPI
Dorothy Plaza
Diabetes Educator Registered Nurse · Moscow, ID
NPI number
1124547401
Active
Practice location
700 S Main St
Moscow, ID 83843-3056
Mailing address
916 E 7th St
Moscow, ID 83843-3709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 50282 (ID) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1124547401
Dorothy Plaza's National Provider Identifier is 1124547401, issued on Sep 18, 2017. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Moscow, ID. The record was last updated on Sep 18, 2017.