Active NPIIndividual provider

Mary D Moore, APRN

Nurse Practitioner, Women's Health in Lebanon, New Hampshire

NPI Number1952639486
Practice location
1 Medical Center Dr, Lebanon, NH 03756-0001
Fax
—
Last updated
December 23, 2024

Mary Donohue Moore is a Nurse Practitioner, Women's Health based in Lebanon, NH. Mary Donohue Moore practices in Lebanon, NH and has the professional credentials of APRN. The NPI Number for Mary Donohue Moore is 1952639486 and holds a License No. 101.0058235 (VT). The current practice location address for Mary Donohue Moore is 1 Medical Center Dr, Lebanon, NH 03756-0001 and can be reached out via phone at 603-650-5000.

Provider Profile Details

NPI Number
1952639486
Provider Name
Mary Donohue Moore
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Lebanon, NH 03756-0001
Phone Number
603-650-5000
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
No
Provider Enumeration Date
November 20, 2009
Last Update Date
December 23, 2024
Certification Date
December 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-0001
Zip
03756-0001
Phone Number
603-650-5000
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
Po Box 810
Hanover, NH 03755-0810
City
Hanover
State
NH
Zip
03755-0810

License Information

License Number (1)
101.0058235
License State (1)
VT
Taxonomy (1)
Clinical Nurse Specialist, Oncology · 364SX0200X
License Number (2)
112014-23
License State (2)
NH
Taxonomy (2)
Nurse Practitioner, Women's Health · 363LW0102X · Primary
License Number (3)
101.0058235
License State (3)
VT
Taxonomy (3)
Nurse Practitioner · 363L00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary D Moore, APRN?

The NPI number of Mary D Moore, APRN is 1952639486. It was assigned on November 20, 2009 and is currently active in the NPPES registry.

What is the specialty of Mary D Moore, APRN?

Mary D Moore, APRN is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in VT under license number 101.0058235.

Where does Mary D Moore, APRN practice?

The practice location is 1 Medical Center Dr, Lebanon, NH 03756-0001. The office can be reached at 603-650-5000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952639486 directly on the NPPES registry website.

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