PA Kou Vang Thao, FNP-BC
Nurse Practitioner, Family in Appleton, WI. Individual provider (NPI-1).
NPI number1982133807
StatusActive
Last updated in NPPESJun 5, 2017
Details
- NPI
- 1982133807
- Entity type
- Individual (NPI-1)
- Name
- Mrs. PA Kou Vang Thao
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2017
- Last updated
- Jun 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7641-33 | WI | Yes |
Practice location
508 W Wisconsin AveAppleton, WI 54911-4337
Phone 920-731-6304
Mailing address
315 Birch StHortonville, WI 54944-9355
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