Pa Nyia Thao, is a
Licensed Practical Nurse based in Monona, Wisconsin. Pa Nyia Thao is licensed to practice in Wisconsin (license number 322973) and her current practice location is
123 Shato Ln, Monona, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 451-2084.
NPI number for Pa Nyia Thao is 1063975191 and her current mailing address is 431 15th St N, Wisconsin Rapids, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063975191.
Provider's Profile
| Full Name | Pa Nyia Thao |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 123 Shato Ln, Monona, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063975191
- Provider Enumeration Date: 04/06/2019
- Last Update Date: 04/06/2019
Medical Identifiers
Medical identifiers for Pa Nyia Thao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063975191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 322973 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pa Nyia Thao is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pa Nyia Thao,
431 15th St N,
Wisconsin Rapids, WI 54494-3636
Ph: () - | Pa Nyia Thao,
123 Shato Ln,
Monona, WI 53716-3795
Ph: (715) 451-2084 |
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