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Virginia Inthavong, FNP
Nurse Practitioner in Modesto, California
NPI 1932741139

Virginia Inthavong is a Nurse Practitioner based in Modesto, CA. Virginia Inthavong practices in Modesto, CA and has the professional credentials of FNP. The NPI Number for Virginia Inthavong is 1932741139 and holds a License No. 95013866 (California).

The current practice location address for Virginia Inthavong is 1717 Las Vegas St, Modesto, CA and can be reached out via phone at 866-682-4842 and via fax at 866-234-5550. You can also correspond with Virginia Inthavong through the mailing address at 2012 LANDING CT, MODESTO, CA - 95357-0857 (mailing address contact number: ).

Location: 1717 Las Vegas St, Modesto, CA, 95357-0857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932741139
Provider Name
Virginia Inthavong
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1717 Las Vegas St, Modesto, CA, 95357-0857
Phone Number
866-682-4842
Fax Number
866-234-5550
Provider Enumeration Date
10/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1717 Las Vegas St
City
Modesto
State
California
Zip
95358-5500
Phone Number
866-682-4842
Fax Number
866-234-5550
person
Provider Business Mailing Address Details
Address
1717 Las Vegas St
City
Modesto
State
California
Zip
95358-5500
Phone Number
866-682-4842
Fax Number
866-234-5550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
XXXXXX (Kansas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95013866 (California)
Definition
Definition to come...
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