THIDA SAN FNP-C
NPI 1124944459
Nurse Practitioner - Family in Utica, NY

Active since June 29, 2026
1510 STEUBEN ST FL 1, UTICA, NY 13501(315) 601-2136 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thida San Fnp-c NPPES

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

THIDA SAN FNP-C (NPI 1124944459) is an individual family provider in Utica, New York, licensed in New York (360069) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1124944459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHIDA SANCredential: FNP-C
Location Address1510 STEUBEN ST FL 1Utica, NY 13501-4923
Mailing Address1510 Steuben St Fl 1Utica, NY 13501-4923 · (315) 601-2136
Sole ProprietorNo
Enumeration DateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1124944459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 360069
1510 STEUBEN ST FL 1, Utica, NY 13501

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 Thida San's NPI number?

The NPI number for Thida San is 1124944459. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Thida San located?

Thida San practices at 1510 Steuben St Fl 1, Utica, NY 13501. The listed phone number is (315) 601-2136.

What is Thida San's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Thida San was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.