Provider Demographics
NPI:1710059852
Name:THONA, MAYA MELLINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAYA
Middle Name:MELLINA
Last Name:THONA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13130 NORCIA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-9156
Mailing Address - Country:US
Mailing Address - Phone:909-646-9336
Mailing Address - Fax:775-637-5536
Practice Address - Street 1:1725 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2316
Practice Address - Country:US
Practice Address - Phone:714-834-8548
Practice Address - Fax:714-834-8372
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 563760163W00000X
CAPHN 61894163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHN 61894OtherPUBLIC HEALTH NURSE CERT.
CARN 563760OtherREGISTERED NURSE LICENSE