Individual
SUPATIDA TUANTHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1057 BOSTON POST RD STE 2, GUILFORD, CT 06437-2672
(866) 389-2727
Mailing address
57 BURGESS ST, EAST HAVEN, CT 06512-3709
(203) 430-6671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14125
CT
Other
Enumeration date
10/17/2024
Last updated
12/03/2025
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