Individual
MARY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 WHIPPLE ST, PRESCOTT, AZ 86301-1747
(928) 232-5987
(928) 776-6496
Mailing address
505 WHIPPLE ST, PRESCOTT, AZ 86301-1747
(928) 232-5987
(928) 776-6496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
292594
AZ
Other
Enumeration date
06/01/2023
Last updated
03/27/2026
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