Individual
MS. SIVILAI VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1239 PAYNE AVE, SAINT PAUL, MN 55130-3667
(651) 209-8350
Mailing address
313 MINNESOTA AVE, ROSEVILLE, MN 55113-4741
(651) 209-8350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7001
MN
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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