Individual provider · Type 1 NPI

Kavitha Malango, NP

Nurse Practitioner · Plymouth, MN

NPI number 1285267922 Active

Practice location

15700 37th Ave N Ste 300
Plymouth, MN 55446-3661

Mailing address

3001 Broadway St NE Ste 500
Minneapolis, MN 55413-2197

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7224 (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 1285267922

Kavitha Malango, NP's National Provider Identifier is 1285267922, issued on Feb 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, MN. The record was last updated on Aug 12, 2021.