Individual
MARIE LANORA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10928 EAGLE RIVER RD STE 254, EAGLE RIVER, AK 99577-8080
(907) 696-0221
Mailing address
10928 EAGLE RIVER RD STE 254, EAGLE RIVER, AK 99577-8080
(907) 696-0221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
120278
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
239122
AK
Other
Enumeration date
04/14/2025
Last updated
01/16/2026
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