Individual provider · Type 1 NPI
Nongnuch Kongbandalsuke, NP
Nurse Practitioner · Bellflower, CA
Practice location
16323 Clark Avenue #C
Bellflower, CA 90706
Fax (562) 867-0665
Mailing address
14901 Trojan Circle
Huntington Beach, CA 92647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP21753 (CA) |
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 1730438359
Nongnuch Kongbandalsuke, NP's National Provider Identifier is 1730438359, issued on Aug 29, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bellflower, CA. The record was last updated on Aug 29, 2012.