Individual
CYNTHIA JANE HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.-P.C.
Contact information
Practice address
14001 RIDGEDALE DR, STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Mailing address
14001 RIDGEDALE DR, STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R1083026
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP1771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442653300
—
MN
Enumeration date
02/07/2006
Last updated
03/11/2016
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