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Search › Idaho › 225100000X

Susan Moore

NPI 1225298169 · on the registry since 2008

Practice

Address
2814 S Indiana Ave
Caldwell, ID 83605
Phone
(208) 459-0808
Fax
(208) 459-6668
Organisation at this address
Canyon West Of Cascadia, Llc
Kindred Nursing Centers West, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho