Moody, Julie Raye
Moody, Julie Raye is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Moody, Julie Raye can be contacted via phone (208) 359-4840.Contact Information
Primary practice address
393 E 2Nd N
Rexburg ID 83440-1605
Phone: (208) 359-4840
Fax: (208) 359-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 69140 | Idaho |
Profile Details
| NPI number | 1508530676 |
|---|---|
| LBN Legal business name | Moody, Julie Raye |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2021 |
| Last updated | May 20th, 2024 - 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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