Individual
AMANDA JANE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2400
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-107203
IA
Other
Enumeration date
08/01/2007
Last updated
07/07/2025
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