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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA JUNE MOORE, NURSE PRACTITIONER

Active Sole Proprietor

MS. LISA JUNE MOORE, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in EAGLE, Idaho. NPI 1578780961 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · EAGLE, ID

Registration Details

NPI Number
1578780961
Provider Type
Individual
Gender
Female
NPI Issued
Apr 19, 2007 (19.296332738502 yrs)
Last Updated
Nov 21, 2023
Licenses
NP 669-A (ID)
NP 669-A (ID)
Sole Proprietor
Yes

Practice Information

Address
SIMPLY YOU HEALTH & MEDSPA
219 S. WOODDALE AVE.
EAGLE, ID, 83616
Browse ID providers · Browse ZIP 83616
Phone
2089945576
Fax
2085296428
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in EAGLE, ID

Name Credential NPI
MS. BETH ELAINE LANDIS NP 1013915164
MS. CYNTHIA RAY CULP FNP 1386643146
MS. JUDI BEAN N.P. 1477589216
MRS. VANESSA IRENE BIZIMANA NP 1801008305
CLAUDIA PARCELLS NP 1144469735
COURTNEY NICOLE FLYNN NP 1306166905
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.