person
Mary Maudeana Moore, CNP
Family Nurse Practitioner in Minot Afb, North Dakota
NPI 1689077927

Mary Maudeana Moore is a Family Nurse Practitioner based in Muscle Shoals, ND and is specialized in Family. Mary Maudeana Moore practices in Minot Afb, ND and has the professional credentials of CNP. The NPI Number for Mary Maudeana Moore is 1689077927 and holds a License No. 114792 (North Dakota).

The current practice location address for Mary Maudeana Moore is 10 Missile Ave, Minot Afb, ND and can be reached out via phone at 701-723-5190 and via fax at 701-723-5391. You can also correspond with Mary Maudeana Moore through the mailing address at 130 RIVER RD APT E207, MUSCLE SHOALS, AL - 35661-1338 (mailing address contact number: 918-661-6180).

Location: 10 Missile Ave, Minot Afb, ND, 35661-1338
person
Provider Profile Details
NPI Number
1689077927
Provider Name
Mary Maudeana Moore
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
10 Missile Ave, Minot Afb, ND, 35661-1338
Phone Number
701-723-5190
Fax Number
701-723-5391
Provider Enumeration Date
10/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200558940A 05 OK
institution
Provider Business Practice Location Address Details
Address
10 Missile Ave
City
State
Zip
58705-5003
Phone Number
701-723-5190
Fax Number
701-723-5391
person
Provider Business Mailing Address Details
Address
10 Missile Ave
City
State
Zip
58705-5003
Phone Number
701-723-5190
Fax Number
701-723-5391
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
114792 (Oklahoma)
Definition
Definition to come...
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