Individual provider · Type 1 NPI
Angena Phothisane
Registered Nurse · Shakopee, MN
Practice location
1779 Tyrone Dr
Shakopee, MN 55379-3199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 2496981 (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 1295687283
Angena Phothisane's National Provider Identifier is 1295687283, issued on Feb 11, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shakopee, MN. The record was last updated on Feb 11, 2026.