# NIPAPORN TINA BUADAENG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366939019
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN002918 | NV | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2023191298 | NV | — |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 05/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1366939019 | — | NV |