Individual
NKAO ZYOUA PA SAMANTHA THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(651) 366-1396
Mailing address
2127 CLIFFVIEW DR, EAGAN, MN 55122-2380
(651) 366-1396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
Primary
2515040
MN
Other
Enumeration date
05/19/2023
Last updated
05/15/2025
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