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

Mai Tia Ly, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1265731319

Mai Tia Ly, REGISTEREDNURSE is a Registered Nurse in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011

Practice location Address checks out

2499 Rice St Ste 132
Roseville, MN 55113-3724
Phone: (651) 494-9058
Fax: (651) 494-6680
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R194859-8 (MN)

Record details

NPI number1265731319
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedMarch 15, 2011
Last updated in NPPESApril 2, 2019

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