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

Mary A Moore, NP

Individual provider Family Nurse Practitioner · NPI 1972598753

Mary A Moore, NP is a Family Nurse Practitioner in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3801 Decorah Rd
West Bend, WI 53095-9597
Phone: (704) 529-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1744-33 (WI)

Record details

NPI number1972598753
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address3801 Decorah Rd, West Bend, WI 53095-9597

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