Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susanna Tiffany Pruangkarn, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1023740313

Susanna Tiffany Pruangkarn, AGACNP is an Acute Care Nurse Practitioner in Nellis AFB, Nevada. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F432303-01 (NY)

Record details

NPI number1023740313
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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