Individual
LYDIA NAHBILA KEBILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
310 SMITH AVE N STE 440, SAINT PAUL, MN 55102-2316
(651) 241-6550
(651) 241-6586
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9962
MN
363LF0000X
Family Nurse Practitioner
F12220695
MN
Other
Enumeration date
01/03/2023
Last updated
08/24/2023
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