Provider Demographics
NPI:1871377499
Name:RUAN, CHENGYING (DNP)
Entity type:Individual
Prefix:
First Name:CHENGYING
Middle Name:
Last Name:RUAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:RUAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:420 DELAWARE STREET SE; MMC 394
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:507-340-4552
Mailing Address - Fax:
Practice Address - Street 1:420 DELAWARE ST SE.
Practice Address - Street 2:MMC 394
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-7486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MN10687363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program