NPI 1205603149

Poonlarp Lurslurchachai

Practitioner Psychiatric/Mental Health Nurse Practitioner Rohnert Park, CA

Practice location

Address: 1509 Keats Pl, Rohnert Park, CA 94928-5047
Phone: (650) 878-7525

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 95030638 (CA)

Other Nurse Practitioner providers in California →

Registry record

NPI: 1205603149
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2023
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.