Provider Demographics
NPI:1831251750
Name:VATANAPRADITH, SACHAPORN (RN, APRN,BC)
Entity type:Individual
Prefix:MRS
First Name:SACHAPORN
Middle Name:
Last Name:VATANAPRADITH
Suffix:
Gender:F
Credentials:RN, APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TEXAS WOMAN'S UNIVERSITY STUDENT HEALTH SERVICES
Mailing Address - Street 2:P.O. BOX 425467
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76204-5467
Mailing Address - Country:US
Mailing Address - Phone:940-898-3826
Mailing Address - Fax:940-898-3844
Practice Address - Street 1:305 ADMINISTRATION DR.
Practice Address - Street 2:TEXAS WOMAN'S UNIVERSITY STUDENT HEALTH SERVICES
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76204-5467
Practice Address - Country:US
Practice Address - Phone:940-898-3826
Practice Address - Fax:940-898-3844
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRN 534974163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS64960Medicare UPIN
TNNP0402Medicare ID - Type UnspecifiedPROVIDER NO.