ANN N MOFFETT


Address: 858 Commerce Dr., Smelterville, ID 83858
Phone: 2087844612

ANN N MOFFETT (NPI# 1578061883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578061883
Entity Type Individual
Full Name ANN N MOFFETT
Credential NP-C
Practice Address 858 Commerce Dr.
Smelterville
ID 83858
Mailing Address 25 Jacobs Gulch Rd
Kellogg
ID 83837-2023
Practice Telephone 2087844612
Mailing Telephone 2087844612
Mailing Fax Number 2087831342
Enumeration Date 2018-02-01
Last Update Date 2019-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
57731 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 858 COMMERCE DR.
City SMELTERVILLE
State ID
Zip Code 83858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467883967 Dsi Kellogg, LLC Clinic/Center 858 Commerce Dr., Smelterville, ID 83868 2013-12-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174183578 Kerri Ruddell Nurse Practitioner 16760 Id-41, Rathdrum, ID 83858 2019-06-18
1811555758 Daniel Whitesitt Dentist 14596 Id-41, Rathdrum, ID 83858 2019-06-05
1831437839 Patricia M Salois Speech-Language Pathologist 1564 Washington Street, Rathdrum, ID 83858 2013-01-25
1063554673 Lakeland Joint School Disrict #272 Local Education Agency (LEA) 1564 Washington Ave, Rathdrum, ID 83858 2007-02-12
1275695140 James M Mcnamara Dentist 13997 W Hwy 53, Rathdrum, ID 83858 2006-12-15
1568573962 Chad Stephen Devore Dentist 14596 Hwy 41, Suite A, Rathdrum, ID 83858 2006-08-31
1811982994 Frances L. White Contractor 14528 N Wight St, Rathdrum, ID 83858 2005-09-15
1063055069 Karin Sue Duncan Naturopath 16726 N Meadowview Ln, Rathdrum, ID 83858-0017 2019-10-22
1770768624 Gabrielle Durbin Private Vehicle W 7164 Diagonal, Rathdrum, ID 83858-0283 2008-01-09
1003840034 Lorene H Lindley Family Medicine 13859 N Reflection Rd, Rathdrum, ID 83858-6038 2006-07-10
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1558986521 Lisa Kay Stimpson Nurse Practitioner 1605 Poen Rd, Kuna, ID 83634-1743 2020-06-15
1730714049 Care Medical Housecalls PC Nurse Practitioner 2040 E Holgate Ct, Eagle, ID 83616 2020-03-06
1295372308 Elizabeth Balleweg Nurse Practitioner 2306 N 31st St, Boise, ID 83703-5628 2019-12-09
1891264545 Tina Monique Bossolono-williams Nurse Practitioner 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 2018-11-23
1821525452 Kristin Meshelle Hofmann Nurse Practitioner 420 W Main St Ste 206, Boise, ID 83702-7363 2017-05-14
1992237648 Candice Elaine Adams Nurse Practitioner 5108 N Maidstone Way, Boise, ID 83713-1367 2017-03-31
1851832695 Penny Rea Nurse Practitioner 5307 Green Valley Pl, Nampa, ID 83686-5790 2017-03-13
1891176798 Christine Cooper Nurse Practitioner 35 W Idaho St, Weiser, ID 83672 2015-06-16
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Competitor

Search similar providers

City SMELTERVILLE
Zip Code 83858

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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