Individual
LEAH MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 W BANNOCK ST, BOISE, ID 83702-6035
(208) 343-6458
Mailing address
2000 N 27TH ST, BOISE, ID 83702-0235
(281) 630-1354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58540
ID
Other
Enumeration date
08/21/2020
Last updated
01/29/2026
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