Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAILA KEODOUANGDY
Active Sole ProprietorTHAILA KEODOUANGDY is a Family Nurse Practitioner healthcare provider located in CITRONELLE, Alabama. NPI 1104448919 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CITRONELLE, AL
Registration Details
- NPI Number
- 1104448919
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2020 (6.1081947245775 yrs)
- Last Updated
- Nov 18, 2021
- License
-
1-136625 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19250 N MOBILE STCITRONELLE, AL, 365222122Browse AL providers · Browse ZIP 36522
- Phone
- 2518669126
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in CITRONELLE, AL
| Name | Credential | NPI |
|---|---|---|
| NANCY URSPRUNG | CRNP | 1992129860 |
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.