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

Dr. Phoutphong Manivong, DNP, ARPN, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1447130620

Dr. Phoutphong Manivong, DNP, ARPN, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Cloud, Minnesota. Qualified in 2025, 1 year ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

5918 Crestwood Ct
Saint Cloud, MN 56301-8850
Phone: (320) 493-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 156072 (MN)

Record details

NPI number1447130620
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , ARPN , CRNA
Sole proprietorNo
NPI enumeratedSeptember 6, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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