Moss, Sheila
Moss, Sheila is an individual health care provider with primary practice located at 740 S Woodruff Ave , Idaho Falls ID 83401-5285. 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. Moss, Sheila can be contacted via phone (208) 542-9111.Contact Information
Primary practice address
740 S Woodruff Ave
Idaho Falls ID 83401-5285
Phone: (208) 542-9111
Fax: (208) 542-9114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200850072NP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP-868A | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-868A | Idaho |
Profile Details
| NPI number | 1538322060 |
|---|---|
| LBN Legal business name | Moss, Sheila |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Dec 29th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538322060 | NPPES |
| Idaho | Other | NP868A | STATE |
| Idaho | MEDICAID | 1538322060 | STATE |
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