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SAN THAWALANTHANNE
Psychiatric/Mental Health Nurse Practitioner
NPI: 1275397622IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
11031100(FL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2023
Contact & Hours
Via practice · 2 locations total
- Address
- 106 W WINDHORST RD
BRANDON, FL 33510 - Phone
- (813) 373-9531
Quick Facts
- NPI
- 1275397622
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 3
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