Wiberg, Ralene

Wiberg, Ralene is an individual health care provider with primary practice located at 211 16Th Ave N , Nampa ID 83687-4058. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wiberg, Ralene can be contacted via phone (208) 461-7149.

Contact Information

Primary practice address
211 16Th Ave N Nampa ID 83687-4058
Phone: (208) 461-7149
Fax: (208) 467-3391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NP464A Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101252362 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-12117 Idaho

Profile Details

NPI number 1912956806
LBN Legal business name Wiberg, Ralene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Aug 1st, 2013 - about 12 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 1912956806 NPPES
Idaho Other NP464A NP LICENSE

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