Individual provider · Type 1 NPI
William Chad Moore
Adult Psychiatric/Mental Health Registered Nurse · St. Cloud, MN
NPI number
1245152834
Active
Practice location
4801 Veterans Dr
St. Cloud, MN 56303-2015
Mailing address
2563 Jaber Ave NE
St. Michael, MN 55376-5405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | RN9397122 (FL) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1245152834
William Chad Moore's National Provider Identifier is 1245152834, issued on Jul 27, 2026. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 27, 2026.