Individual
DR. PHOUTPHONG MANIVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARPN, CRNA
Contact information
Practice address
5918 CRESTWOOD CT, SAINT CLOUD, MN 56301-8850
(320) 493-2757
Mailing address
5918 CRESTWOOD CT, SAINT CLOUD, MN 56301-8850
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
156072
MN
Other
Enumeration date
09/06/2025
Last updated
12/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us