Individual provider · Type 1 NPI

Pauline Chua, MD

Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI number 1477472801 Active

Practice location

4820 23rd Ave S Ste 200
Fargo, ND 58104-9138

Call (701) 234-6076 Map

Mailing address

4840 23rd Ave S # 4805
Fargo, ND 58104-9136

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477472801

Pauline Chua, MD's National Provider Identifier is 1477472801, issued on Jul 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fargo, ND. The record was last updated on Jul 10, 2026.