Individual
ELSBETH BISBAL HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(651) 399-7869
Mailing address
7378 TIMBER CREST DR S, COTTAGE GROVE, MN 55016-4577
(651) 399-7869
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4424
MN
Other
Enumeration date
03/07/2016
Last updated
03/27/2019
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