MRS. AMANDA LEE MOORE RN NPI 1184555377

NPI Information

  • NPI: 1184555377
  • Provider Name: MRS. AMANDA LEE MOORE, RN
  • Classification: Registered Nurse - 163WA2000X
  • Specialization: Administrator
  • Entity Type: Individual
  • Address: 2368 MARITIME DR STE 240
    ELK GROVE, CA
    ZIP 95758
  • Phone: (916) 312-6001

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NPI Details

MRS. Amanda Lee Moore, RN is an administrator registered nurse in Elk Grove, CA. MRS. Amanda Lee Moore, RN NPI is 1184555377. 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:

2368 MARITIME DR STE 240
ELK GROVE, CA
ZIP 95758-655
Phone: (916) 312-6001

The enumeration date for this NPI number is 5/26/2026 and was last updated on 5/26/2026.

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
1163WA2000XRegistered NurseAdministrator95254874CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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