Individual
PAHDER MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 W VERONA AVE APT 102, VERONA, WI 53593-1567
(715) 432-6068
Mailing address
509 W VERONA AVE APT 102, VERONA, WI 53593-1567
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
108716630
WI
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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