AMANDA DAVIS MOORE MSN APRN ANP-C NPI 1932463288

NPI Information

NPI: 1932463288
Provider Name: AMANDA DAVIS MOORE, MSN, APRN, ANP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
18901 GREENWELL SPRINGS RD
GREENWELL SPRINGS, LA
ZIP 70739
Phone: (225) 924-9985
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Amanda Davis Moore, MSN, APRN, ANP-C is a family nurse practitioner in Greenwell Springs, LA with 12 years of experience. Amanda Davis Moore, MSN, APRN, ANP-C NPI is 1932463288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18901 GREENWELL SPRINGS RD
GREENWELL SPRINGS, LA
ZIP 70739-836
Phone: (225) 924-9985
Fax: (225) 924-0884

The NPI 1932463288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2012 and was last updated on 4/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	TAP002933	LOUISIANA	No
2	363LF0000X	Nurse Practitioner	Family	AP06967	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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