person
Elizabeth A Wiborg, RNCNP
Gerontology Nurse Practitioner in Minneapolis, Minnesota
NPI 1154380871

Elizabeth A Wiborg is a Gerontology Nurse Practitioner based in Huntington Beach, MN and is specialized in Gerontology. Elizabeth A Wiborg practices in Minneapolis, MN and has the professional credentials of RNCNP. The NPI Number for Elizabeth A Wiborg is 1154380871 and holds a License No. R 94784-6 (Minnesota).

The current practice location address for Elizabeth A Wiborg is 2450 26Th Ave S, Minneapolis, MN and can be reached out via phone at 612-721-2491.

Location: 2450 26Th Ave S, Minneapolis, MN, 92647-9152
person
Provider Profile Details
NPI Number
1154380871
Provider Name
Elizabeth A Wiborg
Credential
RNCNP
Provider Entity Type
Individual
Gender
Female
Address
2450 26Th Ave S, Minneapolis, MN, 92647-9152
Phone Number
612-721-2491
Fax Number
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
504536600 05 MN
institution
Provider Business Practice Location Address Details
Address
2450 26Th Ave S
City
State
Zip
55406-1245
Phone Number
612-721-2491
Fax Number
person
Provider Business Mailing Address Details
Address
2450 26Th Ave S
City
State
Zip
55406-1245
Phone Number
612-721-2491
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R 94784-6 (Minnesota)
Definition
Definition to come...
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