Individual provider · Type 1 NPI
Whitney Lee Moore, DNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Ammon, ID
NPI number
1770150484
Active
Practice location
1675 Curlew Dr
Ammon, ID 83406-4850
Fax (208) 523-5627
Mailing address
PO Box 2106
Idaho Falls, ID 83403-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | ID-58820 (ID) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | ID-58820 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770150484
Whitney Lee Moore, DNP, PMHNP's National Provider Identifier is 1770150484, issued on Jun 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ammon, ID. The record was last updated on Oct 5, 2021.