Amanda Rayanne Brown

Individual provider Active NPI Community Health Worker · Moberly, MO

NPI 1982425922 · NPPES record last updated Oct 22, 2024

Key facts

NPI
1982425922
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
101 W Coates St Ste 201
Moberly, MO 65270-1552
Phone
(660) 263-7173
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

101 W Coates St Ste 201
Moberly, MO 65270-1552

Mailing address

PO Box 653
Moberly, MO 65270-0653
Phone (660) 651-0930

Other providers in Moberly, MO

All providers in Moberly, MO · Community Health Worker in Missouri

Sources for this page

Verify at the official NPI Registry.