Nuanphan S Poole
Nuanphan S Poole is a Nurse Practitioner in Teecnospos, Arizona. Qualified in 2018, 8 years ago. Practices with Dhhs IHS Colville Service Unit, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 8
- Licensed in
- NM
- In the registry since
- 2018
Practice location Address checks out
US Hwy 160 & Navajo Route 35 - Red MesaTeecnospos, AZ 86514
Phone: (928) 656-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence CNP-03546 (NM) |
|---|
Record details
| NPI number | 1801393707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2018 |
| Last updated in NPPES | August 1, 2018 |
| Mailing address | Po Box 160, Shiprock, NM 87420-0160 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Dhhs Ihs Colville Service Unit — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |