Moor, Lydia Marie
Moor, Lydia Marie is an sole proprietor health care provider with primary practice located at 300 E Jefferson St Ste 101 , Boise ID 83712-6221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Moor, Lydia Marie can be contacted via phone (208) 322-1680.Contact Information
Primary practice address
300 E Jefferson St Ste 101
Boise ID 83712-6221
Phone: (208) 322-1680
Fax: (208) 322-1695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 250264 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 66852 | Idaho |
Profile Details
| NPI number | 1588256846 |
|---|---|
| LBN Legal business name | Moor, Lydia Marie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2021 |
| Last updated | Oct 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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