Individual
THAILA KEODOUANGDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19250 N MOBILE ST, CITRONELLE, AL 36522-2122
(251) 866-9126
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-136625
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261555
—
AL
Enumeration date
05/14/2020
Last updated
11/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us