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RATSANY SANANIKONE APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1750049474

Individual Registrant:
 RATSANY  SANANIKONE APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
CAMP ATTERBURY  EDINBURGH, IN 46124 US
Tel: 561-810-9936  Fax: --

Contact information for business:
34 VALENCIA DR  BOYNTON BEACH, FL 33436-1858 US
Tel: 561-810-9936  Fax: --

Registration Information:
NPI: 1750049474
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FL11008249

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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