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Dr. Amanda Caye Moore, DNP
Family Nurse Practitioner in Lewiston, Idaho
NPI 1184391146

Amanda Caye Moore is a Family Nurse Practitioner based in Lewiston, ID and is specialized in Family. Amanda Caye Moore practices in Lewiston, ID and has the professional credentials of DNP. The NPI Number for Amanda Caye Moore is 1184391146 and holds a License No. 69128 (Idaho).

The current practice location address for Amanda Caye Moore is 222 Southway Ave Ste 2B, Lewiston, ID and can be reached out via phone at 208-799-5370.

Location: 222 Southway Ave Ste 2B, Lewiston, ID, 83501-2436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184391146
Provider Name
Amanda Caye Moore
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
222 Southway Ave Ste 2B, Lewiston, ID, 83501-2436
Phone Number
208-799-5370
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MOOREAC200Q9 01 WA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
222 Southway Ave Ste 2B
City
Lewiston
State
Idaho
Zip
83501-2703
Phone Number
208-799-5370
Fax Number
person
Provider Business Mailing Address Details
Address
222 Southway Ave Ste 2B
City
Lewiston
State
Idaho
Zip
83501-2703
Phone Number
208-799-5370
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
69128 (Idaho)
Definition
Definition to come...
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