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General NPI Number Information
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NPI Number | 1275255721
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Entity Type | Individual
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Provider Name | DIANA FRANCIS NIBLACK NP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1200 6TH AVE N
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City | SAINT CLOUD
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State | MN
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Zip | 56303-2735
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Country | US
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Telephone | 320-240-2206
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Fax |
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Provider Business Mailing Address
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Address Line | 230 CHATTER CIR NE
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City | KIMBALL
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State | MN
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Zip | 55353-4313
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Country | US
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Telephone | 612-990-8385
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 9370
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 9370
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 9370
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9370
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 9370
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 9370
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9370
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License Number State | MN
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