| Ms Stephanie Moss, RN | |
|
717 Mission Rd, Fort Hall, ID 83203-0717 | |
| (208) 238-2400 | |
| (208) 238-6292 |
| Full Name | Ms Stephanie Moss |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 717 Mission Rd, Fort Hall, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700115995 | NPI | - | NPPES |
| 003399100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 38506 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Moss, RN Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 238-2400 | Ms Stephanie Moss, RN 717 Mission Rd, Fort Hall, ID 83203-0717 Ph: (208) 238-2400 |
Garth S Brown, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 | |
Joanne Fletcher, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-5435 Fax: 208-238-5462 | |
Richard Lee Mittelstedt, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Rd, Fort Hall, ID 83203 Phone: 208-238-5427 Fax: 208-238-5427 | |
Mrs. Deeanne M Marshall, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Mission Rd, Fort Hall, ID 83203 Phone: 208-238-5427 | |
Kevin Pendlebury, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: Mission Rd, Fort Hall, ID 83203 Phone: 208-238-2400 Fax: 208-238-5462 | |
Mrs. Ashley L Ballensky, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 717 Mission Road, Fort Hall, ID 83203 Phone: 208-238-5423 Fax: 208-238-5465 |