Thaila Keodouangdy
Thaila Keodouangdy is a Nurse Practitioner in Citronelle, Alabama. Qualified in 2019, 7 years ago. Practices with Mobile County Board of Health, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.
- Years since qualifying
- 7
- Licensed in
- AL
- In the registry since
- 2020
Practice location Address checks out
19250 N Mobile StCitronelle, AL 36522-2122
Phone: (251) 866-9126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 251 N Bayou St, Mobile, AL 36603-5827 — (251) 690-8158
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1-136625 (AL) |
|---|
Record details
| NPI number | 1104448919 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2020 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
| Mailing address | Po Box 2867, Mobile, AL 36652-2867 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Mobile County Board Of Health — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Citronelle
-
Nancy Ursprung, CRNP
19250 N Mobile St, Citronelle, AL 36522-2122 · (251) 866-7454