Trysari Sudiro
Trysari Sudiro is an Acute Care Nurse Practitioner in Long Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
2810 Long Beach BlvdLong Beach, CA 90806-1558
Phone: (626) 709-7802
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Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95018240 (CA) |
|---|
Record details
| NPI number | 1396432399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2023 |
| Last updated in NPPES | May 26, 2023 |
| Certification date | May 26, 2023 |
| Mailing address | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 |
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