Individual provider · Type 1 NPI
Thaila Keodouangdy
Family Nurse Practitioner · Citronelle, AL
NPI number
1104448919
Active
Practice location
19250 N Mobile St
Citronelle, AL 36522-2122
Mailing address
PO Box 2867
Mobile, AL 36652-2867
Other practice locations
- 251 N Bayou St, Mobile, AL 36603-5827 · (251) 690-8158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-136625 (AL) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Mobile County Board of HealthFederally Qualified Health Center (FQHC) Citronelle, AL NPI 1053406280
- Charles Seth Davis, CRNPPrimary Care Nurse Practitioner Citronelle, AL NPI 1699194522
- Nancy Ursprung, CRNPFamily Nurse Practitioner Citronelle, AL NPI 1992129860
- Rozalia Mandras Pitruzzello, DMDGeneral Practice Dentistry Citronelle, AL NPI 1245617141
Other family nurse practitioner providers in Citronelle
About NPI 1104448919
Thaila Keodouangdy's National Provider Identifier is 1104448919, issued on May 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Citronelle, AL. The record was last updated on Nov 18, 2021.