Individual provider · Type 1 NPI
Trysari Sudiro
Acute Care Nurse Practitioner · Long Beach, CA
NPI number
1396432399
Active
Practice location
2810 Long Beach Blvd
Long Beach, CA 90806-1558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95018240 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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- Jonathan B. Blitzer, MDHematology & Oncology Physician Long Beach, CA NPI 1912967324
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- Lauren Akahoshi, PA-CPhysician Assistant Long Beach, CA NPI 1528560810
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- Nicollette Sokoeun Buth, DNP, AGACNP-BCAcute Care Nurse Practitioner Long Beach, CA NPI 1184237372
- Lily Alexandra TranAcute Care Nurse Practitioner Long Beach, CA NPI 1184309775
About NPI 1396432399
Trysari Sudiro's National Provider Identifier is 1396432399, issued on Apr 19, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Long Beach, CA. The record was last updated on May 26, 2023.