Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angena Phothisane

Individual provider Registered Nurse · NPI 1295687283

Angena Phothisane is a Registered Nurse in Shakopee, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1779 Tyrone Dr
Shakopee, MN 55379-3199
Phone: (612) 695-2488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2496981 (MN)

Record details

NPI number1295687283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address1779 Tyrone Dr, Shakopee, MN 55379-3199

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