Individual
AMANDA MICHELLE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2501 SCRIPTURE ST STE 303, DENTON, TX 76201-2314
(940) 323-3450
(940) 323-3451
Mailing address
2501 SCRIPTURE ST STE 303, DENTON, TX 76201-2314
(940) 323-3450
(940) 323-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341018501
—
TX
Enumeration date
04/09/2014
Last updated
02/22/2022
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