Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Leeann Moore, GED

Individual provider Peer Specialist · NPI 1649056136

Amanda Leeann Moore, GED is a Peer Specialist in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

215 NE 1st St
Wagoner, OK 74467-4439
Phone: (918) 201-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1649056136
Entity typeIndividual (Type 1)
GenderFemale
Credentials GED
Sole proprietorYes
NPI enumeratedAugust 31, 2023
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing address605 N Polk Ave, Wagoner, OK 74467-2713

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