# KRAIWIT KRAISIRISOPHON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811708761
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 10058155 | OR | — |
| 163W00000X | Registered Nurse | 1083779 | TX | — |
| 163W00000X | Registered Nurse | 1295460 | HI | — |
| 163W00000X | Registered Nurse | 252454 | AK | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0106331 | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10058155 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1083779 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 11046516 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 252455 | AK | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 337993 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 409167 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 58310 | HI | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 70107483 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 89175 | NM | — |

## Other

- **Enumeration date:** 01/17/2025
- **Last updated:** 10/13/2026