Whalio Doctors

NPI 1205230950

McKenzie Larae Moor, PMHNP

Practitioner Psychiatric/Mental Health Nurse Practitioner Williston, ND

Practice location

Address
1500 14th St W, Williston, ND 58801-4076
Phone
(701) 572-3335
Fax
(701) 572-3337

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence R40835 (ND)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence R40835 (ND)

Registry record

NPI
1205230950
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Oct 2014
Record last updated
31 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.