Wiberg, Abby K

Wiberg, Abby K is an individual health care provider with primary practice located at 2200 University Ave W Suite 120, Saint Paul MN 55114-1839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wiberg, Abby K can be contacted via phone (612) 871-1145.

Contact Information

Primary practice address
2200 University Ave W Suite 120 Saint Paul MN 55114-1839
Phone: (612) 871-1145
Fax: (612) 870-5491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R15678805 Minnesota

Profile Details

NPI number 1316256282
LBN Legal business name Wiberg, Abby K
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2010
Last updated Oct 22nd, 2014 - about 11 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 1316256282 NPPES
Minnesota Other R156788-5 LICENSE

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