CHARISAO SRISUTHIPORNSAKUL

KENNEWICK, WA
NPI1609172444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60435520)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WI  5098-33)
363LF0000X Nurse Practitioner, Family
(Licence: IL  209008323)
Enumeration Date2011-01-26
Last Update Date2020-08-31
Business Address
CHARISAO SRISUTHIPORNSAKUL FNP
7201 W GRANDRIDGE BLVD
KENNEWICK, WA 99336-6709
Phone number: 509-221-6900
Mailing Address
CHARISAO SRISUTHIPORNSAKUL FNP
570 CAMY ST
RICHLAND, WA 99352-7868
Phone number: 608-772-6123