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JOHN INTHAVONGSA, DNP RN AGACNP-BC
DNP RN AGACNP-BC
Acute Care Nurse Practitioner
NPI: 1588220222IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
4704309696(MI)
Acute Care Nurse PractitionerPrimary
Nurse Practitioner — Acute Care
Code: 363LA2100X
4704309696(MI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Class of 2019
Contact & Hours
Via practice · 2 locations total
- Address
- 454 W Alexandrine St Apt 18
Detroit, MI 48201 - Phone
- (347) 963-1896
Quick Facts
- NPI
- 1588220222
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 7
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