| Dr Sanouk Xiong, DNP, NP-C FNP | |
|
4112 Joyce Ln, Brooklyn Center, MN 55429-4008 | |
| (763) 742-9757 | |
| Not Available |
| Full Name | Dr Sanouk Xiong |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 4112 Joyce Ln, Brooklyn Center, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083114300 | NPI | - | NPPES |
| F01180845 | Other | MN | AMERICAN ACADEMY OF NURSE PRACTITONERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5780 (Minnesota) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5780 (Minnesota) | Primary |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sanouk Xiong, DNP, NP-C FNP 4112 Joyce Ln, Brooklyn Center, MN 55429-4008 Ph: (763) 742-9757 | Dr Sanouk Xiong, DNP, NP-C FNP 4112 Joyce Ln, Brooklyn Center, MN 55429-4008 Ph: (763) 742-9757 |
Andrew James Wiechman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430 Phone: 763-581-5630 Fax: 763-581-5631 | |
Miriam A Osammor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7030 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-412-9848 | |
Ms. Laura Marie Mollenhoff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 | |
Michelle Busch I, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430 Phone: 763-561-5349 | |
Linda B Wright, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6601 Shingle Creek Pkwy, Ste 400, Brooklyn Center, MN 55430 Phone: 612-873-8800 | |
Kathryn Claire Schulz, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-7340 Fax: 952-993-0300 |