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Susanna Tiffany Pruangkarn, AGACNP
Acute Care Nurse Practitioner in Nellis Afb, Nevada
NPI 1023740313

Susanna Tiffany Pruangkarn is an Acute Care Nurse Practitioner based in Nellis Afb, NV and is specialized in Acute Care. Susanna Tiffany Pruangkarn practices in Nellis Afb, NV and has the professional credentials of AGACNP. The NPI Number for Susanna Tiffany Pruangkarn is 1023740313 and holds a License No. F432303-01 (Nevada).

The current practice location address for Susanna Tiffany Pruangkarn is 4700 Las Vegas Blvd N, Nellis Afb, NV and can be reached out via phone at 702-653-2273.

Location: 4700 Las Vegas Blvd N, Nellis Afb, NV, 89191-6600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023740313
Provider Name
Susanna Tiffany Pruangkarn
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
4700 Las Vegas Blvd N, Nellis Afb, NV, 89191-6600
Phone Number
702-653-2273
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 Las Vegas Blvd N
City
Nellis Afb
State
Nevada
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider Business Mailing Address Details
Address
4700 Las Vegas Blvd N
City
Nellis Afb
State
Nevada
Zip
89191-6600
Phone Number
702-653-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
F432303-01 (New York)
Definition
Definition to come...
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