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

Mary Ann Moore

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457044653

Mary Ann Moore is a Psychiatric/Mental Health Nurse Practitioner in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023

Practice location Address checks out

505 Whipple St
Prescott, AZ 86301-1747
Phone: (928) 232-5987
Fax: (928) 776-6496
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 292594 (AZ)

Record details

NPI number1457044653
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address505 Whipple St, Prescott, AZ 86301-1747

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