Brandi Lee Moss, is a
Registered Nurse - General Practice based in Malad City, Idaho. Brandi Lee Moss is licensed to practice in Idaho (license number 73108) and her current practice location is
975 S 2100 W, Malad City, Idaho. She can be reached at her office (for appointments etc.) via phone at
(801) 358-9683.
NPI number for Brandi Lee Moss is 1922725746 and her current mailing address is 975 S 2100 W, Malad City, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922725746.
Provider's Profile
Full Name | Brandi Lee Moss |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 975 S 2100 W, Malad City, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922725746
- Provider Enumeration Date: 10/24/2022
- Last Update Date: 10/24/2022
Medical Identifiers
Medical identifiers for Brandi Lee Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922725746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 73108 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi Lee Moss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brandi Lee Moss, 975 S 2100 W, Malad City, ID 83252-4925 Ph: (801) 358-9683 | Brandi Lee Moss, 975 S 2100 W, Malad City, ID 83252-4925 Ph: (801) 358-9683 |
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