Individual provider · Type 1 NPI
Poonlarp Lurslurchachai
Psychiatric/Mental Health Nurse Practitioner · Rohnert Park, CA
NPI number
1205603149
Active
Practice location
1509 Keats Pl
Rohnert Park, CA 94928-5047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95030638 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1205603149
Poonlarp Lurslurchachai's National Provider Identifier is 1205603149, issued on Dec 11, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rohnert Park, CA. The record was last updated on Jul 29, 2024.