Individual
MR. PITTAWAT NARKTAWAN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
275 N EL CIELO RD, PALM SPRINGS, CA 92262-6972
(760) 320-4122
(760) 320-2725
Mailing address
275 N EL CIELO RD, PALM SPRINGS, CA 92262-6972
(760) 320-4122
(760) 320-2725
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
22214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22214
NP LICENSE #
CA
Enumeration date
04/02/2013
Last updated
11/17/2017
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