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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA D MOORE, FNP

Active

AMANDA D MOORE, FNP is a Nurse Practitioner healthcare provider located in IDALOU, Texas. NPI 1497065619 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · IDALOU, TX

Registration Details

NPI Number
1497065619
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2010 (15.809908430628 yrs)
Last Updated
Dec 2, 2021
Licenses
709372 (TX)
AP119568 (TX)

Practice Information

Address
113 WALNUT ST
IDALOU, TX, 793294003
Browse TX providers · Browse ZIP 79329
Phone
8068922537
Fax
8068922726
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in IDALOU, TX

Name Credential NPI
VICKI BUXKEMPER FNP 1104882034
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.