Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie Lanora Moore, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508651985

Marie Lanora Moore, APRN is a Nurse Practitioner in Eagle River, Alaska. Qualified in 2025, 1 year ago. Practices with Freedom Behavioral Health Alaska LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
1
Licensed in
AK
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

10928 Eagle River Rd Ste 254
Eagle River, AK 99577-8080
Phone: (907) 696-0221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 239122 (AK)

Record details

NPI number1508651985
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 14, 2025
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address10928 Eagle River Rd Ste 254, Eagle River, AK 99577-8080

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Freedom Behavioral Health Alaska Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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