Individual
HOLLY KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3320 N GRAND MILL LN, COEUR D ALENE, ID 83814-5689
(208) 765-9100
(208) 765-9103
Mailing address
3320 N GRAND MILL LN, COEUR D ALENE, ID 83814-5689
(208) 765-9100
(208) 765-9103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1098A
ID
Other
Enumeration date
09/20/2011
Last updated
02/23/2023
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