Xiong, Sanouk

Xiong, Sanouk is an individual health care provider with primary practice located at 4112 Joyce Ln , Brooklyn Center MN 55429-4008. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Xiong, Sanouk can be contacted via phone (763) 742-9757.

Contact Information

Primary practice address
4112 Joyce Ln Brooklyn Center MN 55429-4008
Phone: (763) 742-9757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5780 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5780 Minnesota

Profile Details

NPI number 1083114300
LBN Legal business name Xiong, Sanouk
Credentials DNP, NP-C FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2018
Last updated Apr 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083114300 NPPES
Minnesota Other F01180845 AMERICAN ACADEMY OF NURSE PRACTITONERS

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