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NPI Code Detail

MEDICARE: ANNA MOORSE

MEDICARE: ANNA MOORSE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1356298210
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MOORSE
Provider Business Mailing Address
First Line : 515 19TH AVE SW
Second Line :
City : WILLMAR
State : MN
Zip : 56201-5274
Country : US
Telephone Number : 320-403-5247
Fax Number : 320-403-5249
Provider Business Practice Location Address
First Line : 515 19TH AVE SW
Second Line :
City : WILLMAR
State : MN
Zip : 56201-5274
Country : US
Telephone Number : 320-403-5247
Fax Number : 320-403-5249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ ANNA MOORSE ” Practice Location

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