Individual
AMBER NOEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5315 E 21ST ST N STE 108, WICHITA, KS 67208-1600
(316) 285-9168
(908) 484-9596
Mailing address
5315 E 21ST ST N STE 108, WICHITA, KS 67208-1600
(620) 382-4206
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81850
KS
Other
Enumeration date
03/17/2023
Last updated
01/12/2024
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