Provider Demographics
NPI:1821009671
Name:REIBER, ANNE E (NP)
Entity Type:Individual
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First Name:ANNE
Middle Name:E
Last Name:REIBER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-2801
Practice Address - Street 1:640 JACKSON ST - MC11108B
Practice Address - Street 2:HEALTHPARTNERS REGIONS SPECIALTY CLINICS
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-4816
Practice Address - Fax:651-254-2801
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-12-08
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Provider Licenses
StateLicense IDTaxonomies
MNR1251515363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN046518600Medicaid
MN046518600Medicaid