Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SOPHEAP PHATHANAK, NP-C
Active Sole ProprietorMRS. SOPHEAP PHATHANAK, NP-C is a Family Nurse Practitioner healthcare provider located in LA VERGNE, Tennessee. NPI 1598130882 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · LA VERGNE, TN
Registration Details
- NPI Number
- 1598130882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2015 (10.492516690555 yrs)
- Last Updated
- Dec 11, 2015
- License
-
20504 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3508 MARTINS WOODS LNLA VERGNE, TN, 370864048Browse TN providers · Browse ZIP 37086
- Phone
- 6154812474
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in LA VERGNE, TN
| Name | Credential | NPI |
|---|---|---|
| KEIKO J SHIGENO | APRN, BC | 1043325558 |
| MRS. PATRICIA ANN STOTTS | FNP | 1174620090 |
| KIMBERLY R PRICHARD | APRN | 1790847358 |
| SAMEERAH ALI | FNP-BC | 1558531566 |
| MRS. JACQUETTA MONIQUE EDWARDS-MALONE | FNP-C | 1326391418 |
| JOSEPH CARTER | — | 1285101626 |
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.