Individual provider · Type 1 NPI
Mary Ann Moore
Psychiatric/Mental Health Nurse Practitioner · Prescott, AZ
NPI number
1457044653
Active
Practice location
505 Whipple St
Prescott, AZ 86301-1747
Fax (928) 776-6496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 292594 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1457044653
Mary Ann Moore's National Provider Identifier is 1457044653, issued on Jun 1, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Prescott, AZ. The record was last updated on Mar 27, 2026.