Individual
JONI M MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2923
(218) 262-3441
(218) 362-6989
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0381913-22
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403104100
—
MN
Enumeration date
08/20/2006
Last updated
07/08/2007
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