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Illaria Moore, NP-C
NPI 1790119238 · on the registry since 2013
Practice
- Address
- 11050 Montana Ave
Boise, ID 83713 - Phone
- (208) 954-6783
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-31
- Status
- Not present in the most recent federal file
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