Individual provider · Type 1 NPI

Amanda D. Moore, FNP

Nurse Practitioner · Idalou, TX

NPI number 1497065619 Active

Practice location

113 Walnut St
Idalou, TX 79329-4003

Fax (806) 892-2726

Mailing address

3601 4th St
Lubbock, TX 79430-8312

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X709372 (TX)
Nurse Practitioner Primary 363L00000XAP119568 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497065619

Amanda D. Moore, FNP's National Provider Identifier is 1497065619, issued on Oct 21, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Idalou, TX. The record was last updated on Dec 2, 2021.