Individual
MRS. MYRA EMILY MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401-4300
(208) 529-5276
Mailing address
690 CRESTVIEW AVE, IDAHO FALLS, ID 83402-3136
(208) 757-0721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW-35492
ID
104100000X
Social Worker
Primary
LMSW-27988
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073662052
—
ID
Enumeration date
03/15/2013
Last updated
04/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us