SUSANNA TIFFANY PRUANGKARN (AGACNP) – Acute Care Nurse Practitioner, NPI 1023740313

SUSANNA TIFFANY PRUANGKARN (AGACNP) is a healthcare provider. based in Nellis afb, Nevada. specializing in Acute Care Nurse Practitioner. They hold the professional credentials AGACNP. They hold a License No. F432303-01 (NY). The NPI Number for SUSANNA TIFFANY PRUANGKARN (AGACNP) is 1023740313

Main info

Female
Name
SUSANNA TIFFANY PRUANGKARN (AGACNP)
NPI
1023740313
Phone
(702) 653-3560
Address
4700 LAS VEGAS BLVD N
Enumeration Date
27 June 2022
Last Update Date
8 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for SUSANNA TIFFANY PRUANGKARN (AGACNP)

  • 4700 LAS VEGAS BLVD N

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3560

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89191)

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Reviews

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Frequently asked questions

How do payers reference SUSANNA TIFFANY PRUANGKARN (AGACNP)?
For SUSANNA TIFFANY PRUANGKARN (AGACNP), use NPI 1023740313 as the unique 10-digit identifier.
Is SUSANNA TIFFANY PRUANGKARN (AGACNP) shown as active in public data?
Registry records indicate SUSANNA TIFFANY PRUANGKARN (AGACNP) maintains an active NPI.
What expertise is attributed to SUSANNA TIFFANY PRUANGKARN (AGACNP)?
SUSANNA TIFFANY PRUANGKARN (AGACNP)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with SUSANNA TIFFANY PRUANGKARN (AGACNP)?
Directory geography for SUSANNA TIFFANY PRUANGKARN (AGACNP) centers on Nellis Afb, Nevada.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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