Individual
MRS. NYAHON CHIENG CHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
(952) 993-3286
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518115658
MEDICA
MN
05
—
1518115658
—
MN
Enumeration date
09/03/2008
Last updated
01/20/2023
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