SUSANNA TIFFANY PRUANGKARN

NELLIS AFB, NV
NPI1023740313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  F432303-01)
Enumeration Date2022-06-27
Last Update Date2023-08-08
Business Address
SUSANNA TIFFANY PRUANGKARN AGACNP
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2273
Mailing Address
SUSANNA TIFFANY PRUANGKARN AGACNP
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-3560
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