Mokwa, Lou Ann

Mokwa, Lou Ann is an individual health care provider with primary practice located at 1818 N Meade St , Appleton WI 54911-3454. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mokwa, Lou Ann can be contacted via phone (920) 731-8900.

Contact Information

Primary practice address
1818 N Meade St Appleton WI 54911-3454
Phone: (920) 731-8900
Fax: (920) 738-5369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3830 Wisconsin

Profile Details

NPI number 1366775488
LBN Legal business name Mokwa, Lou Ann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2009
Last updated Sep 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366775488 NPPES
Wisconsin Other WI2257028 MEDICARE PTCAN
Wisconsin Other 450030638 MEDICARE PTCAN
Wisconsin Other 711290059 MEDICARE PTCAN

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