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

Pattaraphongpan Chaiyamart

Individual provider General Practice Registered Nurse · NPI 1043073133

Pattaraphongpan Chaiyamart is a General Practice Registered Nurse in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2024.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

1048 Central Ave W
Saint Paul, MN 55104-4728
Phone: (612) 239-8235
Show map & directions

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

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 2489704 (MN)

Record details

NPI number1043073133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024

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