Susanna Tiffany Pruangkarn, AGACNP
NPI #1023740313 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1023740313
- Entity Type
- Individual
- Name
- Susanna Tiffany Pruangkarn, AGACNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- AGACNP
- Enumeration Date
- Jun 27, 2022
- Last Updated
- Aug 8, 2023
Practice Location
- Address
- 4700 LAS VEGAS BLVD N
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-6600
- Phone
- (702) 653-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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