Individual
DR. AMANDA CAYE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 799-5370
(833) 941-3874
Mailing address
415 6TH STREET, ATTN: PHYSICIAN SERVICES, LEWISTON, ID 83501-2424
(208) 750-7462
(208) 750-7467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69128
ID
363LF0000X
Family Nurse Practitioner
AP61196279
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184391146
—
ID
05
—
2191935
—
WA
Enumeration date
08/26/2021
Last updated
02/25/2026
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