Illaria C Moore, NP-C is an adult health nurse practitioner in Boise, ID. Illaria C Moore, NP-C NPI is 1790119238. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11050 MONTANA AVE
BOISE, ID
ZIP 83713-049
Phone: (208) 954-6783
The NPI 1790119238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/31/2013 and was last updated on 8/31/2013.