Individual
ERIN LISA REBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
Mailing address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10610
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
10610
MN
Other
Enumeration date
10/09/2023
Last updated
10/11/2023
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