Individual
AMY EILEEN MOENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3705 S JEFFERSON AVE, SPRINGFIELD, MO 65807-5880
(501) 393-2406
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023029633
MO
363LF0000X
Family Nurse Practitioner
Primary
2023063579
MO
Other
Enumeration date
07/18/2023
Last updated
02/18/2026
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