Individual
AMY NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
508 MEDICAL CENTER BLVD STE 320, CONROE, TX 77304-2845
(936) 523-5790
Mailing address
508 MEDICAL CENTER BLVD STE 320, CONROE, TX 77304-2845
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
675131
TX
367A00000X
Advanced Practice Midwife
Primary
675131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163693801
—
TX
05
—
163693803
—
TX
01
—
899N17
BCBS
TX
Enumeration date
07/28/2005
Last updated
08/04/2023
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