Individual provider · Type 1 NPI

Amanda Moeller, CSFA

Surgical Physician Assistant · Cheyenne, WY

NPI number 1932804143 Active

Practice location

214 E 23rd St
Cheyenne, WY 82001-3748

Mailing address

2300 Apache St
Cheyenne, WY 82009-5030

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1932804143

Amanda Moeller, CSFA's National Provider Identifier is 1932804143, issued on Apr 5, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cheyenne, WY. The record was last updated on Apr 5, 2023.