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RATSANY SANANIKONE APRN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1750049474
Individual Registrant: RATSANY SANANIKONE APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
CAMP ATTERBURY EDINBURGH, IN 46124 US
Tel: 561-810-9936 Fax: --
Tel: 561-810-9936 Fax: --
Contact information for business:
34 VALENCIA DR BOYNTON BEACH, FL 33436-1858 US
Tel: 561-810-9936 Fax: --
Tel: 561-810-9936 Fax: --
Registration Information:
NPI: 1750049474
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | FL | 11008249 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
