MANIVAN THOR VANG (NPI# 1992224588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992224588 |
| Entity Type | Individual |
| Full Name | MANIVAN THOR VANG |
| Credential | RN |
| Practice Address |
2110 N Sherman Ave Madison WI 53704-3933 |
| Practice Telephone | (608) 217-3642 |
| Practice Fax Number | 6088560440 |
| Mailing Telephone | 6082173642 |
| Mailing Fax Number | 6088560440 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
116073-30 | WI | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
116073-30 | WI | Nursing Service Providers |
| Street Address |
2110 N SHERMAN AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53704-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518283415 | Cheryle Ann Sickels | Registered Nurse | 333 E Campus Mall, Room 5125, Madison, WI 53715-1365 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263846 | Peggy Kaye | Registered Nurse | 1932 Woodlawn Ave, West Bend, WI 53090-1532 | 2020-04-14 |
| 1568940179 | Electisa Spears-hood | Registered Nurse | 5019 W North Ave Ste 210, Milwaukee, WI 53208-1121 | 2018-08-06 |
| 1558743831 | Joyce Kotschi I | Registered Nurse | 201 S Franklin St, Shawano, WI 54166-2719 | 2015-06-23 |
| 1629393780 | Donna Lynn Kowske | Registered Nurse | 345 W Wisconsin Ave, Oconomowoc, WI 53066-5253 | 2010-04-01 |
| 1366061897 | A Simple Touch, LLC | Registered Nurse | 1932 Woodlawn Ave, West Bend, WI 53090-1532 | 2020-04-14 |
| 1851945968 | Melinda Young | Registered Nurse | 13380 W Trepania Rd, Hayward, WI 54843-2186 | 2019-07-26 |
| 1972030856 | Qwapee Consulting LLC | Registered Nurse | 7805 Birch St, Weston, WI 54476-5219 | 2017-05-22 |
| 1952773681 | Lindsay Anderson | Registered Nurse | 9532 E 16 Frontage Rd, 100, Onalaska, WI 54650-6739 | 2015-10-21 |
| 1780080739 | Barbara M Henry | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2014-11-18 |
| 1619225638 | Cynthia Kristen Watson | Registered Nurse | 13105 Watertown Plank Rd, Elm Grove, WI 53122-2213 | 2012-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.