Individual provider · Type 1 NPI
Ericka Rose Moudry, P.A.
Medical Physician Assistant · Decorah, IA
NPI number
1770565186
Active
Practice location
901 Montgomery St
Decorah, IA 52101-2325
Fax (563) 382-4143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 001593 (IA) |
Medical Physician Assistant: Definition to come...
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About NPI 1770565186
Ericka Rose Moudry, P.A.'s National Provider Identifier is 1770565186, issued on Nov 19, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decorah, IA. The record was last updated on Feb 16, 2021.