Individual provider · Type 1 NPI

Bor Thao

Family Nurse Practitioner · Wisconsin Rapids, WI

NPI number 1326958653 Active

Practice location

2031 Peach St
Wisconsin Rapids, WI 54494-5181

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X19038-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1326958653

Bor Thao's National Provider Identifier is 1326958653, issued on Sep 9, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on Sep 9, 2026.