Healthcare Provider Details

I. General information

NPI: 1831251750
Provider Name (Legal Business Name): SACHAPORN VATANAPRADITH RN, APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 ADMINISTRATION DR. TEXAS WOMAN'S UNIVERSITY STUDENT HEALTH SERVICES
DENTON TX
76204-5467
US

IV. Provider business mailing address

TEXAS WOMAN'S UNIVERSITY STUDENT HEALTH SERVICES P.O. BOX 425467
DENTON TX
76204-5467
US

V. Phone/Fax

Practice location:
  • Phone: 940-898-3826
  • Fax: 940-898-3844
Mailing address:
  • Phone: 940-898-3826
  • Fax: 940-898-3844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License NumberRN 534974
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: