Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 49461 | MN |
Y | 2080P0205X | Pediatric Endocrinologist | 49461 | MN |
NPI | 1467646919 |
---|---|
Provider Name | Dr. Angela Hsu-Yin Chua Tridgell |
First Address | Saint Paul, MN 55102-2387 |
Second Address | Saint Paul, MN 55102-2387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 29/08/2012 |