Individual provider · Type 1 NPI
Theerarat Thanavaro
Adult Health Nurse Practitioner · Parkville, MD
NPI number
1265823074
Active
Practice location
9512 Harford Rd
Parkville, MD 21234-3100
Mailing address
421 Matts Way
Defiance, MO 63341-2524
Other practice locations
- 300 Medical Plz Ste 150, Lake St. Louis, MO 63367-1483 · (636) 625-2662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2014015283 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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- Ashleigh Koch, PTPhysical Therapist Baltimore, MD NPI 1700285475
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- Judith Lipchin, P.A.-CPhysician Assistant Baltimore, MD NPI 1669431391
- Kathryn Andersen, LAT, ATC, NREMTAthletic Trainer Parkville, MD NPI 1508324070
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Other adult health nurse practitioner providers in Parkville
About NPI 1265823074
Theerarat Thanavaro's National Provider Identifier is 1265823074, issued on Feb 16, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Parkville, MD. The record was last updated on Nov 24, 2020.