person
Ms. Mary Sara Moore, PSYCHNP
Psychiatric/Mental Health Nurse Practitioner in Fort Leonard Wood, Missouri
NPI 1912911421

Mary Sara Moore is a Psychiatric/Mental Health Nurse Practitioner based in Fort Leonard Wood, MO and is specialized in Psychiatric/Mental Health. Mary Sara Moore practices in Fort Leonard Wood, MO and has the professional credentials of PSYCHNP. The NPI Number for Mary Sara Moore is 1912911421 and holds a License No. 152094 (Missouri).

The current practice location address for Mary Sara Moore is 126 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-0417 and via fax at 573-596-0524.

Location: 126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
person
Provider Profile Details
NPI Number
1912911421
Provider Name
Mary Sara Moore
Credential
PSYCHNP
Provider Entity Type
Individual
Gender
Female
Address
126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
Phone Number
573-596-0417
Fax Number
573-596-0524
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
126 Missouri Ave
City
State
Zip
65473-8952
Phone Number
573-596-0417
Fax Number
573-596-0524
person
Provider Business Mailing Address Details
Address
126 Missouri Ave
City
State
Zip
65473-8952
Phone Number
573-596-0417
Fax Number
573-596-0524
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
152094 (Missouri)
Definition
Definition to come...
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