Holler-Bibel, Mary Pat

Holler-Bibel, Mary Pat is an individual health care provider with primary practice located at 718 Oak St , Grand Forks ND 58201-4460. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holler-Bibel, Mary Pat can be contacted via phone (218) 230-0070.

Contact Information

Primary practice address
718 Oak St Grand Forks ND 58201-4460
Phone: (218) 230-0070
Fax: (800) 958-7702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP1338690 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 2010011783 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X NUR-APRN-LIC-153741 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R26553 North Dakota

Profile Details

NPI number 1023075975
LBN Legal business name Holler-Bibel, Mary Pat
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023075975 NPPES
Ohio MEDICAID PENDING
Ohio Other 68D22CE
Ohio Other 17981
Ohio Other 50000686
Ohio MEDICAID 604715700
Ohio MEDICAID HE1472284

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