person
Ms. Annie Kanchanasuwan, RN,GNP,GCNS-BC
Gerontology Nurse Practitioner in Pasadena, California
NPI 1609832385

Annie Kanchanasuwan is a Gerontology Nurse Practitioner based in Los Angeles, CA and is specialized in Gerontology. Annie Kanchanasuwan practices in Pasadena, CA and has the professional credentials of RN,GNP,GCNS-BC. The NPI Number for Annie Kanchanasuwan is 1609832385 and holds a License No. 15980 (California).

The current practice location address for Annie Kanchanasuwan is 988 S Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-799-4193. You can also correspond with Annie Kanchanasuwan through the mailing address at 3731 REVERE AVE, LOS ANGELES, CA - 90039-1818 (mailing address contact number: 323-662-3007).

Location: 988 S Fair Oaks Ave, Pasadena, CA, 90039-1818
person
Provider Profile Details
NPI Number
1609832385
Provider Name
Annie Kanchanasuwan
Credential
RN,GNP,GCNS-BC
Provider Entity Type
Individual
Gender
Female
Address
988 S Fair Oaks Ave, Pasadena, CA, 90039-1818
Phone Number
626-799-4193
Fax Number
Provider Enumeration Date
04/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
988 S Fair Oaks Ave
City
State
Zip
91105-2626
Phone Number
626-799-4193
Fax Number
person
Provider Business Mailing Address Details
Address
3731 Revere Ave
City
State
Zip
90039-1818
Phone Number
323-662-3007
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
15980 (California)
Definition
Definition to come...
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