Individual provider · Type 1 NPI

Phoutphong Manivong, DNP, ARPN, CRNA

Certified Registered Nurse Anesthetist · St. Cloud, MN

NPI number 1447130620 Active

Practice location

5918 Crestwood Ct
St. Cloud, MN 56301-8850

Specialties and licenses

Taxonomy	Code	License
Certified Registered Nurse Anesthetist Primary	367500000X	156072 (MN)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1447130620

Phoutphong Manivong, DNP, ARPN, CRNA's National Provider Identifier is 1447130620, issued on Sep 6, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Cloud, MN. The record was last updated on Dec 1, 2025.