Susanna Tiffany Pruangkarn, AGACNP - Nurse Practitioner in Nellis Afb, NV

Susanna Tiffany Pruangkarn, AGACNP is a Nurse Practitioner - Acute Care based in Nellis Afb, Nevada. Susanna Tiffany Pruangkarn is licensed to practice in New York (license number F432303-01) and her current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. She can be reached at her office (for appointments etc.) via phone at (702) 653-2273.

NPI number for Susanna Tiffany Pruangkarn is 1023740313 and her current mailing address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023740313.

Contact Information

Susanna Tiffany Pruangkarn, AGACNP
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
(702) 653-2273
Not Available



Provider's Profile

Full NameSusanna Tiffany Pruangkarn
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023740313
  • Provider Enumeration Date: 06/27/2022
  • Last Update Date: 08/08/2023

Medical Identifiers

Medical identifiers for Susanna Tiffany Pruangkarn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023740313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care F432303-01 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susanna Tiffany Pruangkarn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susanna Tiffany Pruangkarn, AGACNP
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-3560
Susanna Tiffany Pruangkarn, AGACNP
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600

Ph: (702) 653-2273

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Nurse Practitioner Nurses in Nellis Afb, NV

Kealie Mehr, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
James Scot Fite, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2273    
Kimberly M Kittleson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2965    
Nancy Joan Heisterman, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Amds/sgpt, Nellis Afb, NV 89191
Phone: 702-653-2890    Fax: 702-653-2549
Deborah Cochran,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-2300    
Elizabeth S Green, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone: 702-653-3116    

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