DR. PHOUTPHONG MANIVONG, DNP, ARPN, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1447130620

Practice Address

5918 CRESTWOOD CT
Saint Cloud, MN 56301

Phone: (320) 493-2757

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 156072 (MN)

Frequently Asked Questions

NPI 1447130620 is the National Provider Identifier for DR. PHOUTPHONG MANIVONG, DNP, ARPN, CRNA, a Nurse Anesthetist, Certified Registered provider located in Saint Cloud, MN. This NPI was enumerated on September 6, 2025.
DR. PHOUTPHONG MANIVONG, DNP, ARPN, CRNA practices at 5918 CRESTWOOD CT, Saint Cloud, MN 56301.

Quick Facts

NPI
1447130620
Type
Individual
Enumerated
Sep 6, 2025
Last Updated
Dec 1, 2025

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