Kibira, Marguerite Nancy

Kibira, Marguerite Nancy is an individual health care provider with primary practice located at 755 53Rd Ave Ne , Fridley MN 55421-1240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kibira, Marguerite Nancy can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
755 53Rd Ave Ne Fridley MN 55421-1240
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9010 Minnesota

Profile Details

NPI number 1497757470
LBN Legal business name Kibira, Marguerite Nancy
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 5th, 2018 - 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 1497757470 NPPES
Other 0119796 MEDICA
Other 106468 MEDICA
Other 106468C620 MEDICA
Other FP14201016107 MEDICA
MEDICAID 277590500 MEDICA

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