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

SIRILUCK BOONSOM

Active Sole Proprietor

SIRILUCK BOONSOM is a Registered Nurse healthcare provider located in INDIANAPOLIS, Indiana. NPI 1982029450 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · INDIANAPOLIS, IN

Registration Details

NPI Number
1982029450
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2014 (12.290707253778 yrs)
Last Updated
Feb 20, 2014
License
846583 (CA)
Sole Proprietor
Yes

Practice Information

Address
5980 W 71ST ST
SUITE 102
INDIANAPOLIS, IN, 462782711
Browse IN providers · Browse ZIP 46278
Phone
3173880800
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in INDIANAPOLIS, IN

Name Credential NPI
SHERRY S CANTRELL MD 1811946338
SHELBY SAUERHEBER APRN 1831148345
MARY JANE SPENCER NURSE PRACTITIONER 1225072754
DEBORAH K SIEFERT NURSE PRACTITIONER 1003850272
JULIE ANN SANDINE NURSE PRACTITIONER 1982648002
CATHERINE MAE CLAGER 1598700908
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.