Individual provider · Type 1 NPI

Suchada Rachapat Surunna

Licensed Practical Nurse · Nesconset, NY

NPI number 1104421585 Active

Practice location

24 Burnham Pl
Nesconset, NY 11767-2956

Call (818) 929-6236 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X329305-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104421585

Suchada Rachapat Surunna's National Provider Identifier is 1104421585, issued on Dec 2, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Nesconset, NY. The record was last updated on Dec 2, 2020.