Healthcare Provider Details

I. General information

NPI: 1952232001
Provider Name (Legal Business Name): MAI ANH DOAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 SAINT FRANCIS AVE
SHAKOPEE MN
55379-3374
US

IV. Provider business mailing address

1455 SAINT FRANCIS AVE
SHAKOPEE MN
55379-3374
US

V. Phone/Fax

Practice location:
  • Phone: 952-428-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number123379
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: