Individual
ALYSON N NIEBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433-2583
(763) 236-9000
(763) 236-9010
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15365
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2023
Last updated
10/10/2025
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