Individual
CHOOLWE VIRGINIA MUPUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPF
Contact information
Practice address
520 COUNTRY CLUB, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422
Mailing address
520 COUNTRY CLUB, EUGENE, OR 97401-6036
(541) 683-5001
(541) 683-1422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1063610
TX
363LF0000X
Family Nurse Practitioner
1063610
TX
363LF0000X
Family Nurse Practitioner
201905761NP-PP
OR
363LF0000X
Family Nurse Practitioner
4704245005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500766690
—
OR
Enumeration date
02/18/2016
Last updated
07/28/2023
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