Theerarat Thanavaro
Theerarat Thanavaro is a Nurse Practitioner in Parkville, Maryland. Qualified in 2013, 13 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 13
- Licensed in
- MO
- In the registry since
- 2015
Practice location Address checks out
9512 Harford RdParkville, MD 21234-3100
Phone: (410) 665-4400
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 300 Medical Plz Ste 150, Lake St Louis, MO 63367-1483 — (636) 625-2662
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 2014015283 (MO) |
|---|
Record details
| NPI number | 1265823074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 16, 2015 |
| Last updated in NPPES | November 24, 2020 |
| Certification date | November 24, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Parkville
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Dawamed LLC
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-
MS. Veronica Annette Holland-Barner, CRNP
8813 Waltham Woods Rd Ste 204, Parkville, MD 21234-2450 · (410) 661-4670
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Mrs. Monica Anne Lynch, CRNP
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Dr. Lawanda Rollins, DNP, AGNP-C
8831 Satyr Hill Rd Ste 100, Parkville, MD 21234-2355 · (443) 946-1896
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Two Ways Medical Care, LLC
8831 Satyr Hill Rd Ste 100, Parkville, MD 21234-2355 · (443) 946-1896
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Mrs. Deborah Anne Vojik, CRNP
9512 Harford Rd Ste 1, Parkville, MD 21234-3127 · (443) 570-0314