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Annie Kanchanasuwan, RN, GNP, GCNS-BC

Nurse Practitioner, Gerontology in Pasadena, CA. Individual provider (NPI-1).

NPI number1609832385
StatusActive
Last updated in NPPESJan 30, 2008

Details

NPI
1609832385
Entity type
Individual (NPI-1)
Name
Ms. Annie Kanchanasuwan
Credential
RN, GNP, GCNS-BC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2006
Last updated
Jan 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology15980CAYes

Practice location

988 S Fair Oaks Ave
Pasadena, CA 91105-2626

Phone 626-799-4193

Mailing address

3731 Revere Ave
Los Angeles, CA 90039-1818

Phone 323-662-3007

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Other Gerontology Nurse Practitioner providers in Pasadena, CA

All 6 Gerontology Nurse Practitioner providers in Pasadena · All 12,802 providers in Pasadena

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