Individual provider · Type 1 NPI
Manjun Feng
Nurse Practitioner · Minneapolis, MN
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
628 Lake Pine Dr
Shoreview, MN 55126-1256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 13225 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1144100728
Manjun Feng's National Provider Identifier is 1144100728, issued on Sep 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 4, 2025.