Mary A Moore is a Family in Beaver Dam, Wisconsin. Mary A Moore practices all healthcare services and medical treatments related to Family. The NPI Number for Mary A Moore is 1972598753. The last update date is 2015-11-12.
Mary A Moore's current location address is 215 Corporate Dr, Beaver Dam, Wisconsin. You can contact this provider via phone number 9203569415 and fax number 9203569477. The mailing address for Mary A Moore is 215 Corporate Dr, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Moore |
|---|---|
| Address | 215 Corporate Dr, Beaver Dam, Wisconsin |
| Phone Number | 9203569415 |
| Fax Number | 9203569477 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1972598753 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2015-11-12 |
Provider Mailing Address Detail
| Address | 215 Corporate Dr |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539163123 |
| Phone Number | 9203569415 |
| Fax Number | 9203569477 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1744-033 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identification code assigned to Mary A Moore by the Centers for Medicare & Medicaid Services?
The Mary A Moore has been issued the NPI (National Provider Identifier) 1972598753. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary A Moore's facilities are situated?
The facilities of Mary A Moore are physically located at the following address: 215 Corporate Dr, Beaver Dam, WI, 539163123.
What is Mary A Moore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary A Moore's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Mary A Moore receive the assignment of its 1972598753 from the Centers for Medicare & Medicaid Services?
The Mary A Moore was issued its 1972598753 by the Centers for Medicare & Medicaid Services on 2005-09-16.
When was the Mary A Moore's information last updated?
The Mary A Moore's information was last updated on 2015-11-12.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH