Individual
LUANA MAE THI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200640068RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10033400
OR
Other
Enumeration date
05/21/2021
Last updated
07/30/2026
Update your record
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