Pang Vang, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

2250201 Issued in MN

Practice address

115 Magnolia Ave W
Saint Paul, MN 55117-4916

Phone

(651) 233-8188

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Assisted Living LLC

  • Assisted Living Facility
  • Saint Paul, MN
  • NPI 1811509870
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1467064402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAGNOLIA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174916",
            "telephone_number": "651-233-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAGNOLIA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174916",
            "telephone_number": "651-233-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "PANG",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MN",
            "license": "2250201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Der Vang, LICSW
• PA Kou Vang, RN
• PA Nhia Vang
• Paahoua Vang, FNP
• Pakou Vang
• Regis Vang, RN
• Royce Kelly Vang
• Sebastian Zoothaj Vang
• Shary Vang, MD
• Sheng Vang, DNP

• Administrator Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Administrator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.