Provider Demographics
NPI:1518331719
Name:HAK, TUYET A (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:TUYET
Middle Name:A
Last Name:HAK
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:846 HIGH POINT DR NE
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:MN
Mailing Address - Zip Code:55920-4407
Mailing Address - Country:US
Mailing Address - Phone:507-775-2128
Mailing Address - Fax:
Practice Address - Street 1:846 HIGH POINT DR NE
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:MN
Practice Address - Zip Code:55920-4407
Practice Address - Country:US
Practice Address - Phone:507-775-2128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP 4286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily