Nyberg, Faith Marie
Nyberg, Faith Marie is an individual health care provider with primary practice located at 400 E 3Rd St Duluth Clinic, Duluth MN 55805-1951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Nyberg, Faith Marie can be contacted via phone (218) 786-3443.Contact Information
Primary practice address
400 E 3Rd St Duluth Clinic
Duluth MN 55805-1951
Phone: (218) 786-3443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10235 | Minnesota |
Profile Details
| NPI number | 1972638757 |
|---|---|
| LBN Legal business name | Nyberg, Faith Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Oct 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972638757 | NPPES |
| Minnesota | MEDICAID | 1972638757 |
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