Individual
PRUDENCE MPOFU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
Mailing address
1040 PATRICK CT APT 107, WATERLOO, IA 50701-4405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A140430
IA
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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