Individual provider · Type 1 NPI
Phitsamai Thatvihane, NP-C
Nurse Practitioner · Syracuse, NY
Practice location
725 E Adams St Ste 1A
Syracuse, NY 13210-2576
Fax (315) 464-7840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 339735 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1669838108
Phitsamai Thatvihane, NP-C's National Provider Identifier is 1669838108, issued on Jan 14, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 25, 2025.