MAIZONG VANG THOR NPI 1053996876

NPI Information

NPI: 1053996876
Provider Name: MAIZONG VANG THOR
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
4411 E KINGS CANYON RD
FRESNO, CA
ZIP 93702
Phone: (559) 453-1008
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Maizong Vang Thor is a psychiatric/mental health registered nurse in Fresno, CA. Maizong Vang Thor NPI is 1053996876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4411 E KINGS CANYON RD
FRESNO, CA
ZIP 93702-604
Phone: (559) 453-1008

The enumeration date for this NPI number is 3/12/2021 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	95242489	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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