Moor, Mckenzie Larae

Moor, Mckenzie Larae is an sole proprietor health care provider with primary practice located at 1500 14Th St W , Williston ND 58801-4076. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moor, Mckenzie Larae can be contacted via phone (701) 572-3335.

Contact Information

Primary practice address
1500 14Th St W Williston ND 58801-4076
Phone: (701) 572-3335
Fax: (701) 572-3337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R40835 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R40835 North Dakota

Profile Details

NPI number 1205230950
LBN Legal business name Moor, Mckenzie Larae
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2014
Last updated Aug 31st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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