Doctor Name: | MAI DER YANG |
NPI Number: | 1578758710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R 181654-9 |
Business Practice Address: | 38363 Golden Oaks Trl North Branch, MN - 550565839 |
Business Phone Number: | 6514883126 |
Business Fax Number: | 6514877637 |
Mailing Address: | 38363 Golden Oaks Trl, NORTH BRANCH |
State: | MN |
Postal Code: | 550565839 |
Phone Number: | 6514883126 |
Fax Number: | 6514877637 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | R 181654-9 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |