Individual
DOROTHY ELIZABETH MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
1075 N CURTIS RD STE 100, BOISE, ID 83706-1348
(208) 377-5166
(083) 750-5992
Mailing address
1075 N CURTIS RD, STE 100, BOISE, ID 83706-1348
(208) 377-5166
(208) 375-0599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20195.233
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117280800
—
WY
Enumeration date
07/28/2006
Last updated
02/16/2021
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