Individual provider · Type 1 NPI

Danelle Leigh Tibbetts, RN, CNP

Nurse Practitioner · St. Louis Park, MN

NPI number 1215344825 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426-4702

Call (952) 993-3246 Map

Fax (952) 993-3010

Other practice locations

1900 Centracare Cir # 2400, Centracare Clinic, St. Cloud, MN 56303-5000 · (320) 229-4916

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner	363LA2200X	R189644-6 (MN)
Nurse Practitioner Primary	363L00000X	CNP2925 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215344825

Danelle Leigh Tibbetts, RN, CNP's National Provider Identifier is 1215344825, issued on Jul 15, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jan 6, 2020.