THEPTHARA NUI PHOLSENA NPI 1588932495

NPI Information

  • NPI: 1588932495
  • Provider Name: THEPTHARA NUI PHOLSENA
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17707 W MAIN ST
    1ST FL
    MONROE, WA
    ZIP 98272
  • Phone: (360) 282-3885

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NPI Details

Thepthara Nui Pholsena is an adult health nurse practitioner in Monroe, WA. Thepthara Nui Pholsena NPI is 1588932495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17707 W MAIN ST
1ST FL
MONROE, WA
ZIP 98272-967
Phone: (360) 282-3885
Fax: (360) 282-3886

The NPI 1588932495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAP60248306WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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