Individual provider · Type 1 NPI

McKenzie Larae Moor, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Williston, ND

NPI number 1205230950 Active

Practice location

810 2nd St W
Williston, ND 58801-5914

Fax (701) 901-0200

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR40835 (ND)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR40835 (ND)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205230950

McKenzie Larae Moor, PMHNP's National Provider Identifier is 1205230950, issued on Oct 9, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Williston, ND. The record was last updated on Oct 22, 2026.