Tassanida Thummacharoen, APRN
Nurse Practitioner, Family in Hialeah, FL. Individual provider (NPI-1).
NPI number1982165940
StatusActive
Last updated in NPPESMar 30, 2019
Details
- NPI
- 1982165940
- Entity type
- Individual (NPI-1)
- Name
- Tassanida Thummacharoen
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2019
- Last updated
- Mar 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F11180978 | FL | Yes |
Practice location
6429 Nw 171st StHialeah, FL 33015-4615
Phone 305-788-7815
Mailing address
6429 Nw 171st StHialeah, FL 33015-4615
Phone 305-788-7815
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