PA NYIA THAO
NPI 1063975191
Licensed Practical Nurse in Monona, WI

Active since April 06, 2019
123 SHATO LN, MONONA, WI 53716(715) 451-2084 Get Directions Write a Review

NPPES record last updated: April 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pa Nyia Thao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PA NYIA THAO (NPI 1063975191) is an individual licensed practical nurse in Monona, Wisconsin, licensed in Wisconsin (322973) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1063975191
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePA NYIA THAO
Location Address123 SHATO LNMonona, WI 53716-3795
Mailing Address431 15th St NWisconsin Rapids, WI 54494-3636
Sole ProprietorYes
Enumeration DateApril 6, 2019
NPI 1063975191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WI · 322973
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
123 SHATO LN, Monona, WI 53716

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
123 SHATO LN
MONONA, WI 53716
Registered Nurse (Home Health)
123 SHATO LN
MONONA, WI 53716
Registered Nurse
123 SHATO LN
MONONA, WI 53716
Registered Nurse (Home Health)
123 SHATO LN
MONONA, WI 53716
Registered Nurse
123 SHATO LN
MONONA, WI 53716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pa Nyia Thao's NPI number?

The NPI number for Pa Nyia Thao is 1063975191. It was assigned to this individual provider in the NPPES registry on April 6, 2019.

Where is Pa Nyia Thao located?

Pa Nyia Thao practices at 123 Shato Ln, Monona, WI 53716. The listed phone number is (715) 451-2084.

What is Pa Nyia Thao's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Pa Nyia Thao was last updated on April 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.