Supatchaya Tongtheng, FNP
NPI #1093380446 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1093380446
- Entity Type
- Individual
- Name
- Supatchaya Tongtheng, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- May 26, 2021
- Last Updated
- Jul 7, 2021
Practice Location
- Address
- 26 QUEEN STREET
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01610-2473
- Phone
- (508) 860-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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