Individual
JUDY JO SIBILRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
PO BOX 17, HARTLAND, MN 56042-0017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71
MN
363L00000X
Nurse Practitioner
R 097905-0
MN
Other
Enumeration date
01/16/2006
Last updated
09/29/2020
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