Individual
MS. KAREN K.S. MOUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
515 22ND AVE, MONROE CLINIC, MONROE, WI 53566-1569
(414) 384-1400
Mailing address
515 22ND AVE, MONROE CLINIC, MONROE, WI 53566-1569
(608) 845-6914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1536--33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43928700
—
WI
Enumeration date
03/22/2007
Last updated
12/16/2009
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