Libby Ann Wyborny, RN
Individual provider Active NPI Registered Nurse · Kasson, MN
NPI 1306170683 · NPPES record last updated Sep 20, 2009
Key facts
- NPI
- 1306170683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R1572896 (MN)
- Practice address
- 805 7TH St NE
Kasson, MN 55944-2016 - Phone
- (507) 951-7268
- NPI assigned
- Sep 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1572896 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R1572896 | MN | Yes |
Addresses
Primary practice location
805 7TH St NE
Kasson, MN 55944-2016
Mailing address
805 7TH St NE
Kasson, MN 55944-2016
Phone (507) 951-7268
Other providers in Kasson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.