Moss, Brandi Lee

Moss, Brandi Lee is an individual health care provider with primary practice located at 975 S 2100 W , Malad City ID 83252-4925. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Moss, Brandi Lee can be contacted via phone (801) 358-9683.

Contact Information

Primary practice address
975 S 2100 W Malad City ID 83252-4925
Phone: (801) 358-9683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 73108 Idaho

Profile Details

NPI number 1922725746
LBN Legal business name Moss, Brandi Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 2022 - 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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