Individual provider · Type 1 NPI

Annie Kanchanasuwan, RN, GNP, GCNS-BC

Gerontology Nurse Practitioner · Pasadena, CA

NPI number 1609832385 Active

Practice location

988 S Fair Oaks Ave
Pasadena, CA 91105-2626

Mailing address

3731 Revere Ave
Los Angeles, CA 90039-1818

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X15980 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1609832385

Annie Kanchanasuwan, RN, GNP, GCNS-BC's National Provider Identifier is 1609832385, issued on Apr 22, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pasadena, CA. The record was last updated on Jan 30, 2008.