Individual
MINDY LOU MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 267-2121
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
32177
ID
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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