Individual
TANG CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED RN
Contact information
Practice address
12944 NIGHTINGALE ST NW, COON RAPIDS, MN 55448-7030
(763) 710-4981
(763) 710-4990
Mailing address
12944 NIGHTINGALE ST NW, COON RAPIDS, MN 55448-7030
(763) 710-4981
(763) 710-4990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R184904-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R1849040
—
MN
Enumeration date
06/03/2020
Last updated
03/23/2022
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