Individual
MRS. AMANDA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
114 LT MICHAEL CLEARY DR, DALLAS, PA 18612-1649
(570) 255-1178
(570) 255-1156
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016595
PA
363LF0000X
Family Nurse Practitioner
SP016595
PA
Other
Enumeration date
11/17/2016
Last updated
08/19/2022
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