MEDICARE: LUANN M OKRINA-KIBIRA NP

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
1	163WW0101X	Ambulatory Women's Health Care Registered Nurse	R111536-3	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500769	OTHER	MN	FAIRVIEW
2	037R2KI	OTHER	MN	BCBS
3	1025780	OTHER	MN	PREFERRED ONE
4	151283	OTHER	MN	U CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	07-01401	OTHER	MN	MEDICA-CHOICE
7	1344488	OTHER		ARAZ
8	HP32923	OTHER	MN	HEALTH PARTNERS

General Provider Information

NPI Number	:	1245320753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUANN M OKRINA-KIBIRA NP

Provider Business Mailing Address
First Line	:	420 DELAWARE ST SE
Second Line	:	UNIVERSITY OF MINNESOTA PHYSICIANS
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55455-0341
Country	:	US
Telephone Number	:	612-302-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 W BROADWAY AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-2504
Country	:	US
Telephone Number	:	612-302-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	08/17/2010

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