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Individual

TUNCHANOK WOPECH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2865 SIENA HEIGHTS DR, HENDERSON, NV 89052-4167
(702) 407-0110
Mailing address
2865 SIENA HEIGHTS DR STE 331, HENDERSON, NV 89052-4171
(702) 407-0110

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
883680
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386454536
NV
01
883680
STATE LICENSE
NV
Enumeration date
01/09/2025
Last updated
08/25/2025
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