Individual
MISS CHIME YANGZOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 326-4327
Mailing address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 326-4327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4454
MN
363LA2200X
Adult Health Nurse Practitioner
CNP 4454
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP-4454
MN
Other
Enumeration date
08/17/2016
Last updated
03/25/2025
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