Individual provider · Type 1 NPI
Mai Nhia Thao
Primary Care Nurse Practitioner · Fresno, CA
NPI number
1114401569
Active
Practice location
268 N Locan Ave
Fresno, CA 93737-9748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 803343 (CA) |
| Community Health Registered Nurse | 163WC1500X | 81598 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95009657 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1114401569
Mai Nhia Thao's National Provider Identifier is 1114401569, issued on Sep 21, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fresno, CA. The record was last updated on Sep 21, 2018.