Individual provider · Type 1 NPI
Elizabeth A. Wiborg, RN CNP
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1154380871
Active
Practice location
2450 26th Ave S
Minneapolis, MN 55406-1245
Mailing address
7755 Center Ave, Ste 630
Huntington Beach, CA 92647-9152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R 94784-6 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | CNP 2753 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1154380871
Elizabeth A. Wiborg, RN CNP's National Provider Identifier is 1154380871, issued on Mar 21, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 8, 2020.