Individual provider · Type 1 NPI
Mai Olivia Thao
Psychiatric/Mental Health Registered Nurse · Fresno, CA
NPI number
1902521172
Active
Practice location
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Other practice locations
- 3520 E Shields Ave Ste 102, Fresno, CA 93726-6923 · (559) 538-1230
- 3127 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
- 3147 N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
- 3133B N Millbrook Ave, Fresno, CA 93703-1425 · (559) 453-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 687072 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95311159 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1902521172
Mai Olivia Thao's National Provider Identifier is 1902521172, issued on Oct 10, 2022. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fresno, CA. The record was last updated on Aug 13, 2024.