DR. JOHN INTHAVONGSA, DNP RN AGACNP-BC
Nurse Practitioner - Acute Care
Active
Individual
NPI: 1588220222
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 4704309696 (MI) |
| Nurse Practitioner - Acute Care | 363LA2100X | Yes | 4704309696 (MI) |
Frequently Asked Questions
NPI 1588220222 is the National Provider Identifier for DR. JOHN INTHAVONGSA, DNP RN AGACNP-BC, a Nurse Practitioner - Acute Care provider located in Detroit, MI. This NPI was enumerated on May 17, 2019.
DR. JOHN INTHAVONGSA, DNP RN AGACNP-BC practices at 4201 SAINT ANTOINE ST, Detroit, MI 48201.
Quick Facts
- NPI
- 1588220222
- Type
- Individual
- Enumerated
- May 17, 2019
- Last Updated
- Jun 4, 2021
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