Individual provider · Type 1 NPI
Sockviechhea Thou, NP
Adult Health Nurse Practitioner · Winchester, MA
NPI number
1538760186
Active
Practice location
41 Highland Ave
Winchester, MA 01890-1446
Mailing address
80 Rogers St Unit 401
Lowell, MA 01852-3690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2287624 (MA) |
| Gerontology Nurse Practitioner | 363LG0600X | RN2287624 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN2287624 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1538760186
Sockviechhea Thou, NP's National Provider Identifier is 1538760186, issued on Nov 2, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Winchester, MA. The record was last updated on Jun 15, 2021.