Individual
SUSAN MILEY HIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP, RN, CDE
Contact information
Practice address
1213 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2923
(612) 872-8086
(612) 872-8547
Mailing address
1213 E FRANKLIN AVE, MINNEAPOLIS, MN 55404-2923
(612) 872-8086
(612) 872-8547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1079194
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R1079194
—
MN
Enumeration date
08/31/2006
Last updated
07/08/2007
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