Individual
MEHEZA TCHEDIE PANNLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 PATRIOT DR, LITTLE CHUTE, WI 54140-1184
(920) 687-2800
Mailing address
200 PATRIOT DR, LITTLE CHUTE, WI 54140-1184
(920) 687-2800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13494-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235805
—
WI
Enumeration date
03/03/2023
Last updated
03/03/2026
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