Poonlarp Lurslurchachai
Poonlarp Lurslurchachai is a Nurse Practitioner in Rohnert Park, California. Qualified in 2022, 4 years ago. Practices with Siyan Clinical Corporation, a 20-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1509 Keats PlRohnert Park, CA 94928-5047
Phone: (650) 878-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95030638 (CA) |
|---|
Record details
| NPI number | 1205603149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 29, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Siyan Clinical Corporation — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |