Individual
THANH CONG HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
978412
TX
363L00000X
Nurse Practitioner
Primary
10684
MN
363LF0000X
Family Nurse Practitioner
1094524
TX
Other
Enumeration date
06/24/2021
Last updated
10/15/2024
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