Individual provider · Type 1 NPI
Chutiwan N/a Tanasapphaisal
Family Nurse Practitioner · Riverside, CA
NPI number
1851297337
Active
Practice location
10800 Magnolia Ave
Riverside, CA 92505-3043
Mailing address
2525 E Date Palm Paseo Apt 3028
Ontario, CA 91764-7629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95041548 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1851297337
Chutiwan N/a Tanasapphaisal's National Provider Identifier is 1851297337, issued on Oct 20, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Riverside, CA. The record was last updated on Oct 20, 2026.