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Individual

SANA S TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NP

Contact information

Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
Mailing address
920 2ND AVENUE, SUITE 400, MINNEAPOLIS, MN 55402-1419
(612) 659-7111

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229110
MA
363L00000X
Nurse Practitioner
229110
MA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
229110
MA

Other

Enumeration date
06/20/2008
Last updated
08/18/2009
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