person
San Thawalanthanne
Psychiatric/Mental Health Nurse Practitioner in Brandon, Florida
NPI 1275397622

San Thawalanthanne is a Psychiatric/Mental Health Nurse Practitioner based in Clearwater, FL and is specialized in Psychiatric/Mental Health. San Thawalanthanne practices in Brandon, FL. The NPI Number for San Thawalanthanne is 1275397622 and holds a License No. 11031100 (Florida).

The current practice location address for San Thawalanthanne is 106 W Windhorst Rd, Brandon, FL and can be reached out via phone at 813-373-9531.

Location: 106 W Windhorst Rd, Brandon, FL, 33756-4415
person
Provider Profile Details
NPI Number
1275397622
Provider Name
San Thawalanthanne
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 W Windhorst Rd, Brandon, FL, 33756-4415
Phone Number
813-373-9531
Fax Number
Provider Enumeration Date
02/07/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 W Windhorst Rd
City
State
Zip
33510-2455
Phone Number
813-373-9531
Fax Number
person
Provider Business Mailing Address Details
Address
106 W Windhorst Rd
City
State
Zip
33510-2455
Phone Number
813-373-9531
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11031100 (Florida)
Definition
Definition to come...
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