Individual
ALYSSA KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
15350 ENGLISH AVE, APPLE VALLEY, MN 55124-6252
(952) 431-8500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2283870
MN
363L00000X
Nurse Practitioner
Primary
8370
MN
363LF0000X
Family Nurse Practitioner
8370
MN
Other
Enumeration date
01/23/2021
Last updated
10/04/2024
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