Individual
KELLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
703 S AMERICANA BLVD STE 150, BOISE, ID 83702-4976
(208) 706-6375
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
59308
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
59308
ID
Other
Enumeration date
07/24/2018
Last updated
03/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us