| Mai Thao, LPN | |
|
2357 W Mason St, Green Bay, WI 54303-4708 | |
| (920) 337-6740 | |
| Not Available |
| Full Name | Mai Thao |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2357 W Mason St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518692870 | NPI | - | NPPES |
| 42030700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 325613-31 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mai Thao, LPN 2357 W Mason St, Green Bay, WI 54303-4708 Ph: (920) 337-6740 | Mai Thao, LPN 2357 W Mason St, Green Bay, WI 54303-4708 Ph: (920) 337-6740 |
Mrs. Diane Lynn Dewinter, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 141 Siegler St, Green Bay, WI 54303 Phone: 920-497-3126 Fax: 920-497-3176 | |
Kerry A Gay, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Green Bay Ctc, 2357 W. Mason St, Green Bay, WI 54303 Phone: 920-337-6740 | |
Amy Mueller, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1525 Rosalie Ln, Green Bay, WI 54304 Phone: 920-246-4164 | |
Celia M Diehl, LPN, NO. 307099-031 Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2124 Orrie Ln, Green Bay, WI 54304 Phone: 920-530-2147 | |
Alyssa Baldwin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2357 W Mason St, Green Bay, WI 54303 Phone: 920-337-6740 | |
Mr. Shawn B Backus, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2221 S Webster Ave Ste A160, Green Bay, WI 54301 Phone: 920-544-3747 | |
Tanisha Johnson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2357 W Mason St, Green Bay, WI 54303 Phone: 920-337-6740 |