Mary Maudeana Moore

CNP | Nurse Practitioner - Family | 11+ years Exp

10 Missile Ave, Minot Afb
  North Dakota, 58705-5003
701-723-5190
Accepts Medicare Nurse Anesthetist in Minot Afb, North Dakota.
Mary Maudeana Moore is a Minot Afb, North Dakota based nurse practitioner with 11 years of experience in Family. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary Maudeana Moore is 1-117717 for Family in Alabama. Her current practice location is 10 Missile Ave, Minot Afb. Patients can reach her at 701-723-5190 or can fax her at 701-723-5391. Mary Maudeana Moore is CNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1689077927.
Mary Maudeana Moore delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mary Maudeana Moore speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mary Maudeana Moore
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: CNP
Experience: 11+ years
Medical School Attended:Other
Graduation Year:2014
Accepts Medicare Assignment:Yes
Practice Address:10 Missile Ave, Minot Afb,
North Dakota, 58705-5003
Phone:701-723-5190
Fax:701-723-5391
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
PAC ID: 5698097764
Enrollment ID: I20211101002209
NPI Number: 1689077927
NPI Enumeration Date: 01 Oct, 2014
NPI Last Update On: 06 Nov, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Maudeana Moore are as mentioned below.
License NumberSpecializationStateStatus
1-117717Family AlabamaPrimary
114792Family OklahomaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(010131)Huntsville, ALAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mary Maudeana Moore is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Crestwood Physician Services, Llc (3476735648)22
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Maudeana Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200558940AMedicaidOklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mary Maudeana Moore
130 River Rd Apt E207,
Muscle Shoals, Alabama
Zip: 35661-1338
Phone Number: 918-661-6180
Fax Number: 256-325-6724
Patients can reach Mary Maudeana Moore at 10 Missile Ave, Minot Afb, North Dakota or can call to book an appointment on 701-723-5190.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.