Individual provider · Type 1 NPI
Pattaraphongpan Chaiyamart
General Practice Registered Nurse · St. Paul, MN
NPI number
1043073133
Active
Practice location
1048 Central Ave W
St. Paul, MN 55104-4728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 2489704 (MN) |
General Practice Registered Nurse: Definition to come...
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About NPI 1043073133
Pattaraphongpan Chaiyamart's National Provider Identifier is 1043073133, issued on Feb 1, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. Paul, MN. The record was last updated on Feb 2, 2024.