MEDICARE: MAIYAA VANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R168089-8	MN

General Provider Information

NPI Number	:	1487970349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAIYAA VANG

Provider Business Mailing Address
First Line	:	1324 PAYNE AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55130-3434
Country	:	US
Telephone Number	:	651-793-6901
Fax Number	:

Provider Business Practice Location Address
First Line	:	1324 PAYNE AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55130-3434
Country	:	US
Telephone Number	:	651-793-6901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	04/15/2010

Similar Medicare Providers

1750461042 — MRS. KAYING VANG MIDWAYHOMEHEALTHCARE
Practice Location Address:

1324 PAYNE AVE
SAINT PAUL, MN
55130-3434

Practice Phone: 651-793-6901
Practice Fax: 651-776-5251

1306163019 — HOLLY LEE
Practice Location Address:

1324 PAYNE AVE
SAINT PAUL, MN
55130-3434

Practice Phone: 651-793-6901
Practice Fax:

1669799375 — MYONG CHEOYEE VANG
Practice Location Address:

1324 PAYNE AVE
SAINT PAUL, MN
55130-3434

Practice Phone: 651-793-6901
Practice Fax:

1871810598 — BAO YANG LAO
Practice Location Address:

1324 PAYNE AVE
SAINT PAUL, MN
55130-3434

Practice Phone: 651-793-6901
Practice Fax:

1114360492 — INSIDE EDGE DENTAL PLLC
Practice Location Address:

1346 PAYNE AVE
SAINT PAUL, MN
55130-3434

Practice Phone: 651-774-6085
Practice Fax: 651-774-2660

1043295132 — DR. DOUGLAS GLEN WALESHECK D.D.S.
Practice Location Address:

1346 PAYNE AVE
SAINT PAUL, MN
55101-3434

Practice Phone: 651-774-6085
Practice Fax: 651-774-2660

Directions to “ MAIYAA VANG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.