VIRGINIA INTHAVONG, FNP

FNP

Family Nurse Practitioner

NPI: 1932741139IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

95013866(CA)

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

XXXXXX(KS)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

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Contact & Hours

Address: 1717 LAS VEGAS ST
MODESTO, CA 95358
Phone: (866) 682-4842

Locations (3)

Practice Location

1717 LAS VEGAS ST, MODESTO, CA

Practice Location

13340 Metcalf Ave, Overland Park, KS

Practice Location

5304 Queal Dr, Shawnee, KS

Quick Facts

NPI: 1932741139
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 3
Years in Practice: 7

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