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NPI Code Detail

MEDICARE: DR. AMANDA CAYE MOORE DNP

MEDICARE:  DR. AMANDA CAYE MOORE  DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner69128ID
2363LF0000XFamily Nurse PractitionerAP61196279WA

Other Identifiers

General Provider Information

NPI Number : 1184391146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA CAYE MOORE DNP
Provider Business Mailing Address
First Line : 415 6TH STREET
Second Line : ATTN: PHYSICIAN SERVICES
City : LEWISTON
State : ID
Zip : 83501-2424
Country : US
Telephone Number : 208-750-7462
Fax Number : 208-750-7467
Provider Business Practice Location Address
First Line : 2315 8TH ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-7301
Country : US
Telephone Number : 208-799-5370
Fax Number : 833-941-3874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 02/25/2026

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Directions to “ DR. AMANDA CAYE MOORE DNP” Practice Location

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