Individual
CHAIWAT CHULSUWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5155 S DURANGO DR, LAS VEGAS, NV 89113-0173
(702) 463-5556
Mailing address
820 QUICKSAND LN, NORTH LAS VEGAS, NV 89032-7615
(702) 576-8677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
874599
NV
163WM0705X
Medical-Surgical Registered Nurse
Primary
874599
NV
Other
Enumeration date
04/08/2025
Last updated
05/16/2025
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