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Individual

PATRICIA E. MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 N ROBBINS RD STE 301, BOISE, ID 83702-4539
(208) 385-3329
(208) 489-4063
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60041
ID

Other

Enumeration date
11/24/2018
Last updated
11/05/2025
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