Individual
MAYRA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6094 W EMERALD ST, BOISE, ID 83704-8855
(208) 302-1000
(208) 302-1035
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
14226902-4101
UT
231H00000X
Audiologist
Primary
5381309
ID
Other
Enumeration date
08/11/2025
Last updated
04/03/2026
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