Individual
LEANNA MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5537 N GLENWOOD ST STE A, BOISE, ID 83714-1336
(208) 395-1090
(208) 395-1093
Mailing address
PO BOX 44440, BOISE, ID 83711-0440
(208) 888-1199
(208) 888-0807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1522A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP-1522A
LICENSE
ID
Enumeration date
09/19/2014
Last updated
02/26/2021
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