DR. John S Inthavongsa, DNP RN AGACNP-BC is an acute care nurse practitioner in Detroit, MI with 5 years of experience. DR. John S Inthavongsa, DNP RN AGACNP-BC NPI is 1588220222. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2019
The provider's business location address is:
4201 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201-153
Phone: (313) 745-3000
Fax: (313) 745-4707
The NPI 1588220222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/17/2019 and was last updated on 6/4/2021.