Individual
PANG CHENG MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
12802 JOHNSON DR, SHAWNEE, KS 66216-1645
(913) 962-7600
Mailing address
12802 JOHNSON DR, SHAWNEE, KS 66216-1645
(913) 962-7600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79206
KS
Other
Enumeration date
01/12/2020
Last updated
01/12/2020
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