Individual
MRS. MAIYIA LOR YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
895 7TH ST E, SAINT PAUL, MN 55106-3871
(651) 602-7500
(651) 222-1305
Mailing address
895 7TH ST E, SAINT PAUL, MN 55106-3871
(651) 602-7500
(651) 222-1305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2279
MN
363LF0000X
Family Nurse Practitioner
F0411075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2279
MN BOARD OF NURSING
MN
Enumeration date
02/02/2012
Last updated
09/29/2022
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