Healthcare Provider Details

I. General information

NPI: 1013892652
Provider Name (Legal Business Name): DR. PALKYI LHAMO TAYTHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6905 YORK AVE S
EDINA MN
55435-2517
US

IV. Provider business mailing address

7308 11TH AVE S
RICHFIELD MN
55423-3335
US

V. Phone/Fax

Practice location:
  • Phone: 952-920-0126
  • Fax:
Mailing address:
  • Phone: 859-979-9320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13203
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: