MEDICARE: MS. KANITTHA THANANGAMSUWAN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	842216	NV

General Provider Information

NPI Number	:	1831044650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KANITTHA THANANGAMSUWAN

Provider Business Mailing Address
First Line	:	5615 CORIUM CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-8383
Country	:	US
Telephone Number	:	702-461-0385
Fax Number	:

Provider Business Practice Location Address
First Line	:	5615 CORIUM CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89122-8383
Country	:	US
Telephone Number	:	702-461-0385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

Similar Medicare Providers

1730111436 — DR. SURESH GOPALAKRISHNA PRABHU MD
Practice Location Address:

7100 SMOKE RANCH RD
LAS VEGAS, NV
89128-8383

Practice Phone: 702-545-0751
Practice Fax: 702-818-4817

1275169013 — JOYCE CARLOS DAMIANO APRN, MSN, FNP-BC
Practice Location Address:

6360 BOULDER HWY
LAS VEGAS, NV
89122-7301

Practice Phone: 725-228-4520
Practice Fax: 877-889-5390

1578495578 — ERIKA BELEN VACA
Practice Location Address:

5251 EMELITA ST
LAS VEGAS, NV
89122-7656

Practice Phone: 702-582-4201
Practice Fax:

1376514646 — MARK ZIMMERMAN M.D.
Practice Location Address:

5967 SUN APPELLO AVE
LAS VEGAS, NV
89122-3447

Practice Phone: 702-489-5120
Practice Fax: 702-489-5120

1740256189 — MISS PAMELA LOIS BELLOW FNP
Practice Location Address:

6360 BOULDER HWY
LAS VEGAS, NV
89122-7301

Practice Phone: 725-228-4520
Practice Fax: 877-889-5390

1083682504 — LISA M LYONS M.D.
Practice Location Address:

5230 BOULDER HWY STE 110
LAS VEGAS, NV
89122-6077

Practice Phone: 802-940-1560
Practice Fax: 702-940-1561

Directions to “ MS. KANITTHA THANANGAMSUWAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.