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NPI Code Detail

MEDICARE: NOPTANAT SUBCHOOSANG

MEDICARE: NOPTANAT SUBCHOOSANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner850068NV

General Provider Information

NPI Number : 1811836547
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOPTANAT SUBCHOOSANG
Provider Business Mailing Address
First Line : 6336 MOUNT PALOMAR AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7203
Country : US
Telephone Number : 702-927-5328
Fax Number :
Provider Business Practice Location Address
First Line : 6336 MOUNT PALOMAR AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89139-7203
Country : US
Telephone Number : 702-927-5328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ NOPTANAT SUBCHOOSANG ” Practice Location

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