Individual
ELEM BORGES MOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2815 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2656
(715) 438-8255
Mailing address
2403 FOLSOM ST, EAU CLAIRE, WI 54703-2435
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8812-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
04/08/2026
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