IndividualActive
Amanda Moore, FNP
NPI 1497065619 · Nurse Practitioner · Idalou, TX
Provider details
- NPI number
- 1497065619
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 709372 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
113 Walnut St
Idalou, TX 79329-4003
Phone: (806) 892-2537
Fax: (806) 892-2726
Approximate (ZIP-level) locationGet directions
Mailing address
3601 4th St
Lubbock, TX 79430-8312
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.