IndividualActive
Carla Moore
NPI 1053040303 · Home Health Aide · Nampa, ID
Provider details
- NPI number
- 1053040303
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- BB234643E (ID)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2724 Pebble Way
Nampa, ID 83686-7978
Phone: (208) 571-8710
Approximate (ZIP-level) locationGet directions
Mailing address
2724 Pebble Way
Nampa, ID 83686-7978
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.