Individual provider · Type 1 NPI

San Thawalanthanne

Psychiatric/Mental Health Nurse Practitioner · Longwood, FL

NPI number 1275397622 Active

Practice location

2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750-3534

Fax (407) 261-0523

Mailing address

1000 S Lake Dr
Clearwater, FL 33756-4415

Other practice locations

  • 106 W Windhorst Rd, Brandon, FL 33510-2455 · (813) 373-9531

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11031100 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1275397622

San Thawalanthanne's National Provider Identifier is 1275397622, issued on Feb 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Longwood, FL. The record was last updated on Nov 4, 2024.