MRS. MARYANN MCKENNA MOON R.N. C.N.S.
NPI 1023455862
Nurse Practitioner in Milwaukee, WI

Q: What is Maryann Moon's NPI number?

The NPI number for Maryann Moon is 1023455862. It was assigned to this individual provider in the NPPES registry on June 3, 2013. The provider is also known as Miss Mary Ann Mckenna R.N..

Q: What is Maryann Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryann Moon was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2013

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-8700(414) 259-1522 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mrs. Maryann Mckenna Moon R.n. C.n.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARYANN MCKENNA MOON R.N. C.N.S. (NPI 1023455862) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (6944) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1023455862

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARYANN MCKENNA MOONCredential: R.N. C.N.S.

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-8700 · Fax (414) 259-1522

Phone(414) 805-8700

Fax(414) 259-1522

Sole ProprietorNo

Enumeration DateJune 3, 2013

Last NPPES UpdateApril 26, 2018

✔ NPI 1023455862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 6944

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Names 1

Former Name (1)Miss Mary Ann Mckenna R.n.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryann Moon's NPI number?

The NPI number for Maryann Moon is 1023455862. It was assigned to this individual provider in the NPPES registry on June 3, 2013. The provider is also known as Miss Mary Ann Mckenna R.N..

Where is Maryann Moon located?

Maryann Moon practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-8700.

What is Maryann Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Maryann Moon was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.