Healthcare Provider Details

I. General information

NPI: 1255276952
Provider Name (Legal Business Name): STEPHANIE SEIBEL-NIBBE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S COLUMBIA RD
GRAND FORKS ND
58201-4036
US

IV. Provider business mailing address

5560 E PRAIRIEWOOD DR
GRAND FORKS ND
58201-3233
US

V. Phone/Fax

Practice location:
  • Phone: 701-780-5157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH5878
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: