Individual provider · Type 1 NPI

Mai Tia Ly, REGISTERED NURSE

Registered Nurse · Roseville, MN

NPI number 1265731319 Active

Practice location

2499 Rice St, Suite 132
Roseville, MN 55113-3724

Fax (651) 494-6680

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR194859-8 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1265731319

Mai Tia Ly, REGISTERED NURSE's National Provider Identifier is 1265731319, issued on Mar 15, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Roseville, MN. The record was last updated on Apr 2, 2019.