Provider Demographics
NPI:1609534809
Name:ABERLE, LIBBY HADAN (NP)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:HADAN
Last Name:ABERLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10200 COUNTY ROAD 15 WEST
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-9632
Mailing Address - Country:US
Mailing Address - Phone:478-867-3299
Mailing Address - Fax:
Practice Address - Street 1:10200 COUNTY ROAD 15 W
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-9632
Practice Address - Country:US
Practice Address - Phone:478-867-3299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR48427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily