Individual
ANNA LYNN NYBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
4920 149TH ST N UNIT 5, HUGO, MN 55038-8603
(651) 968-6142
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA
MN
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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