Individual provider · Type 1 NPI

Holly Kay Moore, NP

Nurse Practitioner · Coeur D Alene, ID

NPI number 1295018968 Active

Practice location

3320 N Grand Mill Ln
Coeur D Alene, ID 83814-5689

Fax (208) 765-9103

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP1098A (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 1295018968

Holly Kay Moore, NP's National Provider Identifier is 1295018968, issued on Sep 20, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Feb 23, 2023.