SOUA THAO
NPI 1821621723
Licensed Vocational Nurse in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since February 19, 2020

3115 N MILLBROOK AVE, FRESNO, CA 93703(559) 600-2382 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2024, Sep 20, 2024, Feb 19, 2020 (3 updates tracked since 2020).

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
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Individual
Female
Licensed Vocational Nurse

About SOUA THAO

This page provides the complete NPI Profile along with additional information for Soua Thao, a provider established in Fresno, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1821621723 assigned on February 2020. The practitioner's primary taxonomy code is 164X00000X with license number 707257 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI: 1821621723 Verify this NPI
Provider Name: SOUA THAO
Gender: Female
Entity Type: Individual
Location Address: 3115 N MILLBROOK AVE FRESNO, CA 93703
Location Phone: (559) 600-2382
Mailing Address: 3433 W SHAW AVE STE 102 FRESNO, CA 93711
Is Sole Proprietor?: Yes
Enumeration Date: 02-19-2020
Last Update Date: 12-10-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Vocational Nurse
Taxonomy Code: 164X00000X
Type: Nursing Service Providers
License No.: 707257
License State: CA
Taxonomy Description: A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.