Coua Moua, DNP | |
5249 E Terrace Dr, Madison, WI 53718-8339 | |
(414) 418-2707 | |
Not Available |
Full Name | Coua Moua |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5249 E Terrace Dr, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336989193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 15378-33 (Wisconsin) | Primary |
Entity Name | Group Health Cooperative Of South Central Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Mailing Address | Practice Location Address |
---|---|
Coua Moua, DNP 1418 Thoreau Dr, Sun Prairie, WI 53590-7053 Ph: (414) 418-2707 | Coua Moua, DNP 5249 E Terrace Dr, Madison, WI 53718-8339 Ph: (414) 418-2707 |
Jacquelyn Byrd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2917 International Ln, Madison, WI 53704 Phone: 608-240-0020 | |
Renee A Churchill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1530 | |
Jill A. Markus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6420 Fax: 608-263-0440 | |
Dr. Kelly Ann Gardner, APNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1530 Fax: 608-265-8887 | |
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Dawna L Mcmillan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1530 Fax: 608-265-8887 |