Individual provider · Type 1 NPI
Tyler Herchell Moore, NP
Family Nurse Practitioner · Rexburg, ID
NPI number
1801532106
Active
Practice location
37 S 2nd E Ste 101
Rexburg, ID 83440-1906
Mailing address
37 S 2nd E
Rexburg, ID 83440-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 72632 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801532106
Tyler Herchell Moore, NP's National Provider Identifier is 1801532106, issued on May 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rexburg, ID. The record was last updated on May 10, 2022.