Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mai Nou Thao

Individual provider Registered Nurse · NPI 1598151367

Mai Nou Thao is a Nurse Practitioner in Maplewood, Minnesota. Qualified in 2022, 4 years ago. Practices with Minuteclinic Diagnostic of Minnesota PA, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2015
Specialties on file
4
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Practice location Address checks out

2196 White Bear Ave N
Maplewood, MN 55109-2708
Phone: (651) 702-0233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9963 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R2107613 (MN)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence R2107613 (MN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 9963 (MN)

Record details

NPI number1598151367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Minuteclinic Diagnostic Of Minnesota Pa — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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