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

Mark Moore

Individual provider Peer Specialist · NPI 1710527130

Mark Moore is a Peer Specialist in Sheridan, Wyoming. Works from 2 locations. Licensed in Wyoming.

Licensed in
WY
In the registry since
2020

Practice location Address checks out

1221 W 5th St
Sheridan, WY 82801-2701
Phone: (307) 674-4405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1221 W 5th St, Sheridan, WY 82801-2701 — (307) 674-4405

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CPS-014 (WY)

Record details

NPI number1710527130
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2020
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address1221 W 5th St, Sheridan, WY 82801-2701

Other providers in Sheridan