Individual
TUYEN THI KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(952) 924-8117
Mailing address
17846 FORMOSA AVE, LAKEVILLE, MN 55044-4102
(763) 732-3371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10722
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2023
Last updated
08/30/2023
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