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SUSANNA TIFFANY PRUANGKARN AGACNP
NPI 1023740313
Nurse Practitioner - Acute Care in Nellis Afb, NV

Active since June 27, 2022
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susanna Tiffany Pruangkarn Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANNA TIFFANY PRUANGKARN AGACNP (NPI 1023740313) is an individual acute care provider in Nellis Afb, Nevada, licensed in New York (F432303-01) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1023740313
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSUSANNA TIFFANY PRUANGKARNCredential: AGACNP
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-3560
Phone(702) 653-2273
Sole ProprietorNo
Enumeration DateJune 27, 2022
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1023740313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F432303-01
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA A KOENIGSBERGER MD
Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2267
KATRINA BAUMANN DPT
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
JAMEAKA L. HAMILTON M.D.
Obstetrics & Gynecology
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2300
SOUKAINA NOOR MD
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
EDWARD KEMPTON MD
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
DR. AARON JOSEPH WOLBRUECK DO
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
MARIA M ARAQUE PHARMD
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3202
DR. SHUBHANG N MAZUMDAR M.D.
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susanna Pruangkarn's NPI number?

The NPI number for Susanna Pruangkarn is 1023740313. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Susanna Pruangkarn located?

Susanna Pruangkarn practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-2273.

What is Susanna Pruangkarn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Susanna Pruangkarn was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.