Individual provider · Type 1 NPI
Susanna Tiffany Pruangkarn, AGACNP
Acute Care Nurse Practitioner · Nellis Afb, NV
NPI number
1023740313
Active
Practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F432303-01 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1023740313
Susanna Tiffany Pruangkarn, AGACNP's National Provider Identifier is 1023740313, issued on Jun 27, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Nellis Afb, NV. The record was last updated on Aug 8, 2023.