Individual
MAI MOUA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
470 WATER ST, EXCELSIOR, MN 55331-3089
(952) 442-6950
(952) 955-6276
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8987
MN
Other
Enumeration date
12/17/2021
Last updated
04/23/2024
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