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

Individual provider Certified Registered Nurse Anesthetist · NPI 1376642173

Mary R Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bangor, Maine. Qualified in 1993, 33 years ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
33
Licensed in
ME
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

489 State St C/o Emmc
Bangor, ME 04401-6616
Phone: (207) 973-4519
Fax: (207) 992-4132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 034710 (ME)

Record details

NPI number1376642173
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESMarch 6, 2013

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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