NPI 1053040303
Carla Moore
Practice location
- Address
- 2724 Pebble Way, Nampa, ID 83686-7978
- Phone
- (208) 571-8710
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1053040303
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jun 2022
- Record last updated
- 9 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.