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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VIRGINIA INTHAVONG, FNP

Active

VIRGINIA INTHAVONG, FNP is a Family Nurse Practitioner healthcare provider located in MODESTO, California. NPI 1932741139 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MODESTO, CA

Registration Details

NPI Number
1932741139
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2019 (6.827784032344 yrs)
Last Updated
Feb 22, 2022
Licenses
95013866 (CA)
XXXXXX (KS)

Practice Information

Address
1717 LAS VEGAS ST
MODESTO, CA, 953585500
Browse CA providers · Browse ZIP 95358
Phone
8666824842
Fax
8662345550
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Nurse Practitioner

Other Family Nurse Practitioner Providers in MODESTO, CA

Name Credential NPI
MS. DEBRA L. WILSON RNC, FNP 1689620882
MR. MATTHEW F FREITAS FNP 1871535252
HEIDI O'DAY YEE N.P. 1376586362
MISS STACIE NOEL LIEBELT F.N P. 1295779387
MRS. GAIL ZEMZICKI FASO RN, MSN, FNP-C 1629099668
KATHLEEN LEATHERBARROW RN FNP 1669582557
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.