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Contact Information

HEATHER A MOORE, RN
1970 E 17TH ST
STE. 207
IDAHO FALLS, ID83404-8014
 Phone: 208-523-5319
 Fax: 208-523-5627
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for HEATHER A MOORE · (Female)

NPI Number 1801223946
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/03/2013
Last updated 10/03/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # N-38418
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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