Moore, Mary
Moore, Mary is an individual health care provider with primary practice located at 4118 Winnemac Ave , Madison WI 53711-1645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Moore, Mary can be contacted via phone (608) 238-1426.Contact Information
Primary practice address
4118 Winnemac Ave
Madison WI 53711-1645
Phone: (608) 238-1426
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 148800-032 | Wisconsin |
Profile Details
| NPI number | 1275796625 |
|---|---|
| LBN Legal business name | Moore, Mary |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Jul 29th, 2012 - about 13 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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