Vu, Chanthorn

Vu, Chanthorn is an individual health care provider with primary practice located at 5300 Memorial Dr , Two Rivers WI 54241-3923. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vu, Chanthorn can be contacted via phone (920) 793-7420.

Contact Information

Primary practice address
5300 Memorial Dr Two Rivers WI 54241-3923
Phone: (920) 793-7420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10482-33 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 168310-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10482-33 Wisconsin

Profile Details

NPI number 1356691836
LBN Legal business name Vu, Chanthorn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Jan 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356691836 NPPES
Wisconsin MEDICAID 100181709
Wisconsin MEDICAID 100134128

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