Search › Minnesota › 363LF0000X
Mai Nou Thao
NPI 1598151367 · on the registry since 2015
Practice
- Address
- 2196 White Bear Ave N
Maplewood, MN 55109 - Phone
- (651) 702-0233
- Organisation at this address
- Grand St Paul Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
163WH0200X
363LP2300X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota