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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSANNA TIFFANY PRUANGKARN, AGACNP

Active

SUSANNA TIFFANY PRUANGKARN, AGACNP is a Acute Care Nurse Practitioner healthcare provider located in NELLIS AFB, Nevada. NPI 1023740313 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · NELLIS AFB, NV

Registration Details

NPI Number
1023740313
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2022 (4.089606295572 yrs)
Last Updated
Aug 8, 2023
License
F432303-01 (NY)

Practice Information

Address
4700 LAS VEGAS BLVD N
NELLIS AFB, NV, 891916600
Browse NV providers · Browse ZIP 89191
Phone
7026532273
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in NELLIS AFB, NV

Name Credential NPI
LINDSEY CHANCE MORTON NP 1285279117
PATRICK FIAMORDZI ACNP 1225616907
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.