Individual
YOUA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
132 DEVONSHIRE CT APT 2, PLOVER, WI 54467-4194
(262) 320-7790
Mailing address
132 DEVONSHIRE CT APT 2, PLOVER, WI 54467-4194
(262) 320-7790
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F02190157
WI
Other
Enumeration date
03/29/2019
Last updated
04/02/2021
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