Healthcare Provider Details

I. General information

NPI: 1558243972
Provider Name (Legal Business Name): AMANDA MOYER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 E MARKET ST
YORK PA
17401-1205
US

IV. Provider business mailing address

7 E MARKET ST STE 101
YORK PA
17401-1205
US

V. Phone/Fax

Practice location:
  • Phone: 717-798-1760
  • Fax: 364-444-0226
Mailing address:
  • Phone: 717-798-1760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033311
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: