Amanda D. Moore, FNP

Nurse Practitioner · Idalou, TX

Individual Active NPI

NPI number 1497065619

Practice location

113 Walnut St
Idalou, TX 79329-4003
Phone
(806) 892-2537
Fax
(806) 892-2726

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NPI record

NPI
1497065619
Entity type
Individual (Type 1)
Enumeration date
October 21, 2010
Last updated
December 2, 2021
Certified
December 2, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X AP119568 TX
Family Nurse Practitioner 363LF0000X 709372 TX

Mailing address

3601 4TH St
Lubbock, TX 79430-8312
Phone
(806) 743-2373
Fax
(806) 743-2399

About Amanda Moore

Amanda D. Moore, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 113 Walnut St, Idalou, TX 79329-4003. The NPI number 1497065619 was assigned on October 21, 2010 and the record was last updated on December 2, 2021.

Amanda Moore lists 2 licenses in the registry: #AP119568 (TX) for Nurse Practitioner; #709372 (TX) for Family Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda D. Moore, FNP?

The NPI number is 1497065619.

What is the phone number of Amanda Moore?

The phone number listed for the practice location is (806) 892-2537.

Where is Amanda Moore located?

113 Walnut St, Idalou, TX 79329-4003.

What is the taxonomy code for Amanda Moore?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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