MEDICARE: ANNE-MARIE MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1548194301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE-MARIE MOORE

Provider Business Mailing Address
First Line	:	1555 MARVEL WAY UNIT 211
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-6236
Country	:	US
Telephone Number	:	775-686-0677
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 OVERLAND LOOP
Second Line	:
City	:	DAYTON
State	:	NV
Zip	:	89403-8026
Country	:	US
Telephone Number	:	775-241-2758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ ANNE-MARIE MOORE ” Practice Location

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