Individual provider · Type 1 NPI

Mary Maudeana Moore, CNP

Family Nurse Practitioner · Minot Afb, ND

NPI number 1689077927 Active

Practice location

10 Missile Ave
Minot Afb, ND 58705-5003

Fax (701) 723-5391

Mailing address

130 River Rd Apt E207
Muscle Shoals, AL 35661-1338

Other practice locations

  • 350 S 40th St, Muskogee, OK 74401-4915 · (918) 683-0753

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X114792 (OK)
Family Nurse Practitioner Primary 363LF0000X1-117717 (AL)

Family Nurse Practitioner: Definition to come...

77 other providers at this address

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About NPI 1689077927

Mary Maudeana Moore, CNP's National Provider Identifier is 1689077927, issued on Oct 1, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minot Afb, ND. The record was last updated on Nov 6, 2023.