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Ms. Lisa June Moore, NURSEPRACTITIONER
Family Nurse Practitioner in Eagle, Idaho
NPI 1578780961

Lisa June Moore is a Family Nurse Practitioner based in Eagle, ID and is specialized in Family. Lisa June Moore practices in Eagle, ID and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Lisa June Moore is 1578780961 and holds a License No. NP 669-A (Idaho).

The current practice location address for Lisa June Moore is Simply You Health & Medspa, Eagle, ID and can be reached out via phone at 208-994-5576 and via fax at 208-529-6428.

Location: Simply You Health & Medspa, Eagle, ID, 83616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578780961
Provider Name
Lisa June Moore
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
Simply You Health & Medspa, Eagle, ID, 83616
Phone Number
208-994-5576
Fax Number
208-529-6428
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Simply You Health & Medspa
City
Eagle
State
Idaho
Zip
83616
Phone Number
208-994-5576
Fax Number
208-529-6428
person
Provider Business Mailing Address Details
Address
Simply You Health & Medspa
City
Eagle
State
Idaho
Zip
83616
Phone Number
208-994-5576
Fax Number
208-529-6428
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP 669-A (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP 669-A (Idaho)
Definition
Definition to come...
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