Individual provider · Type 1 NPI
Mary A. Moore, NP
Family Nurse Practitioner · West Bend, WI
NPI number
1972598753
Active
Practice location
3801 Decorah Rd
West Bend, WI 53095-9597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1744-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972598753
Mary A. Moore, NP's National Provider Identifier is 1972598753, issued on Sep 16, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Bend, WI. The record was last updated on May 6, 2024.