Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAN THAWALANTHANNE
Active Sole ProprietorSAN THAWALANTHANNE is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LONGWOOD, Florida. NPI 1275397622 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LONGWOOD, FL
Registration Details
- NPI Number
- 1275397622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2024 (2.3309768155201 yrs)
- Last Updated
- Nov 4, 2024
- License
-
11031100 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2290 N RONALD REAGAN BLVD STE 116LONGWOOD, FL, 327503534Browse FL providers · Browse ZIP 32750
- Phone
- 4072150095
- Fax
- 4072610523
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in LONGWOOD, FL
| Name | Credential | NPI |
|---|---|---|
| MS. LORRAINE ROUSE | ARNP | 1881709707 |
| LARI J QUINTERO | ARNP | 1811255599 |
| GABRIEL ALVAREZ | FNP-C, PMHNP- BC | 1144576190 |
| JANELLA SAN JUAN | — | 1639577422 |
| MR. JACK FACUNDUS | ARNP | 1376092809 |
| MRS. FAITH A STOPPLEWORTH | APRN | 1972012375 |
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.