Moore, Lisa June

Moore, Lisa June is an sole proprietor health care provider with primary practice located at Simply You Health & Medspa 219 S. Wooddale Ave., Eagle ID 83616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Lisa June can be contacted via phone (208) 994-5576.

Contact Information

Primary practice address
Simply You Health & Medspa 219 S. Wooddale Ave. Eagle ID 83616
Phone: (208) 994-5576
Fax: (208) 529-6428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 669-A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 669-A Idaho

Profile Details

NPI number 1578780961
LBN Legal business name Moore, Lisa June
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Nov 21st, 2023 - about 3 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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