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Contact Information

ANN N MOFFETT, NP-C
858 COMMERCE DR.
SMELTERVILLE, ID83858
 Phone: 208-784-4612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANN N MOFFETT · (Female)

NPI Number 1578061883
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 02/01/2018
Last updated 02/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 57731
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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