Search › Florida › Psychiatric/Mental Health Nurse Practitioner
San Thawalanthanne
NPI 1275397622 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750 - Phone
- (407) 215-0095
- Fax
- (407) 261-0523
- Organisation at this address
- Impower, Inc
A&L Goodsource Medical Products,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Additional practice sites
- 106 W Windhorst Rd, Brandon, FL
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- 101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida