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NPI Code Detail

MEDICARE: CYNTHIA JANE HIBBS C.P.N.P.-P.C.

MEDICARE:   CYNTHIA JANE HIBBS  C.P.N.P.-P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerCNP1771MN
2163WP0200XPediatric Registered NurseR1083026MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578535076
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JANE HIBBS C.P.N.P.-P.C.
Provider Business Mailing Address
First Line : 14001 RIDGEDALE DR
Second Line : STE 100
City : MINNETONKA
State : MN
Zip : 55305-1781
Country : US
Telephone Number : 952-473-0211
Fax Number : 952-473-7908
Provider Business Practice Location Address
First Line : 14001 RIDGEDALE DR
Second Line : STE 100
City : MINNETONKA
State : MN
Zip : 55305-1781
Country : US
Telephone Number : 952-473-0211
Fax Number : 952-473-7908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 03/11/2016

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1033301650 — DANAH MARIE O'NEIL M.D.
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Directions to “ CYNTHIA JANE HIBBS C.P.N.P.-P.C.” Practice Location

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