Individual
DR. SANOUK XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C FNP
Contact information
Practice address
4112 JOYCE LN, BROOKLYN CENTER, MN 55429-4008
(763) 742-9757
Mailing address
4112 JOYCE LN, BROOKLYN CENTER, MN 55429-4008
(763) 742-9757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5780
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
5780
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01180845
AMERICAN ACADEMY OF NURSE PRACTITONERS
MN
Enumeration date
02/13/2018
Last updated
04/17/2018
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