Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KOMKWUAN PHOLTAVEE PARUCHABUTR, WHNP-BC, FNP-BC, CNM
ActiveAdvanced Practice Midwife · FORT BELVOIR, VA
Registration Details
- NPI Number
- 1689976367
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2010 (15.391080358414 yrs)
- Last Updated
- May 10, 2021
- License
-
207275 (NC)
Practice Information
- Address
-
9600 DEWITT LOOPFORT BELVOIR, VA, 22060Browse VA providers · Browse ZIP 22060
- Phone
- 7034245112
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
- Additional Specialty
- Advanced Practice Midwife
Other Advanced Practice Midwife Providers in FORT BELVOIR, VA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER B. PETERS | CNM | 1033109590 |
| MRS. BRENDA JEAN HOUSTON | CNM | 1861482168 |
| MRS. FLAVIA DEL PILAR DIAZ-HAYS | CNM | 1619968567 |
| MRS. SIMONE JOANNE DUGGER | RN, CNM | 1659466902 |
| MRS. ADRIENNE LYNN GOODKNIGHT | CNM | 1992855274 |
| CATHERINE ANNE LUNA | CNM | 1386979284 |
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.