Wiborg, Elizabeth A
Wiborg, Elizabeth A is an individual health care provider with primary practice located at 2450 26Th Ave S , Minneapolis MN 55406-1245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wiborg, Elizabeth A can be contacted via phone (612) 721-2491.Contact Information
Primary practice address
2450 26Th Ave S
Minneapolis MN 55406-1245
Phone: (612) 721-2491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R 94784-6 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | CNP 2753 | Minnesota |
Profile Details
| NPI number | 1154380871 |
|---|---|
| LBN Legal business name | Wiborg, Elizabeth A |
| Credentials | RN CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jan 8th, 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 | 1154380871 | NPPES |
| Minnesota | MEDICAID | 504536600 |
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