Provider Demographics
NPI:1871584953
Name:THONGTEUM, AUMA (WHNP-BC)
Entity type:Individual
Prefix:
First Name:AUMA
Middle Name:
Last Name:THONGTEUM
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:AUMA
Other - Middle Name:NEKESSA
Other - Last Name:OGUBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:855-308-2340
Practice Address - Street 1:3922 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1304
Practice Address - Country:US
Practice Address - Phone:336-252-3993
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC194123363LW0102X
NC940108363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q67745Medicare UPIN
NC2592635Medicare PIN