Provider Demographics
NPI:1952148074
Name:MONEYMAKER ARNOLD, AMANDA (APRN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:MONEYMAKER ARNOLD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2496 170TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT UNION
Mailing Address - State:IA
Mailing Address - Zip Code:52644-9789
Mailing Address - Country:US
Mailing Address - Phone:319-671-1920
Mailing Address - Fax:
Practice Address - Street 1:2496 170TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT UNION
Practice Address - State:IA
Practice Address - Zip Code:52644-9789
Practice Address - Country:US
Practice Address - Phone:319-671-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA180106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily