Individual
THUAN QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
13351 S ARAPAHO DR, OLATHE, KS 66062-1520
(913) 353-3004
Mailing address
12727 W 118TH ST, OVERLAND PARK, KS 66210-1309
(714) 310-9982
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-81075-081
KS
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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