Provider Demographics
NPI:1356138721
Name:STRANDBERG, EMILY NGUYEN
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:NGUYEN
Last Name:STRANDBERG
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:STRANDBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ENGLISH STRANDBERG
Mailing Address - Street 1:14604 WOODHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2362
Mailing Address - Country:US
Mailing Address - Phone:612-876-8559
Mailing Address - Fax:
Practice Address - Street 1:14604 WOODHAVEN RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2362
Practice Address - Country:US
Practice Address - Phone:612-876-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN91560171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter