Healthcare Provider Details

I. General information

NPI: 1548189509
Provider Name (Legal Business Name): ALEKSANDRA RYBAKINA APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 NOBLE PKWY N
BROOKLYN PARK MN
55443-5500
US

IV. Provider business mailing address

9300 NOBLE PKWY N
BROOKLYN PARK MN
55443-5500
US

V. Phone/Fax

Practice location:
  • Phone: 763-236-5300
  • Fax:
Mailing address:
  • Phone: 763-236-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2482608
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: