Individual
MRS. PANRA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-F
Contact information
Practice address
5625 CENNEX DRIVE, INVER GROVE HEIGHTS, MN 55077-1724
(651) 552-2600
(651) 552-2672
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8752
MN
363L00000X
Nurse Practitioner
Primary
8752
MN
363LF0000X
Family Nurse Practitioner
8752
MN
363LP2300X
Primary Care Nurse Practitioner
8752
MN
Other
Enumeration date
11/19/2021
Last updated
01/30/2026
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