ELIZABETH A WIBORG RN CNP
NPI 1154380871
Nurse Practitioner - Gerontology in Minneapolis, MN

Active since March 21, 2006
2450 26TH AVE S, MINNEAPOLIS, MN 55406(612) 721-2491 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2020, Nov 9, 2016 (2 updates tracked since 2016).

About Elizabeth A Wiborg Rn Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A WIBORG RN CNP (NPI 1154380871) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (CNP 2753) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1154380871
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELIZABETH A WIBORGCredential: RN CNP
Location Address2450 26TH AVE SMinneapolis, MN 55406-1245
Mailing Address7755 Center Ave, Ste 630Huntington Beach, CA 92647-9152 · (657) 400-5180
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateJanuary 8, 20202 updates tracked since enumeration
NPI 1154380871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in MN · CNP 2753 Licensed in MN · R 94784-6
2450 26TH AVE S, Minneapolis, MN 55406

Other Identifiers 1

Medicaid504536600MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2450 26TH AVE S
MINNEAPOLIS, MN 55406
Physical Therapist
2450 26TH AVE S
MINNEAPOLIS, MN 55406
Pediatrics (Hospice and Palliative Medicine)
2450 26TH AVE S, FAIRVIEW HOME CARE AND HOSPICE
MINNEAPOLIS, MN 55406
Behavior Technician
2450 26TH AVE S
MINNEAPOLIS, MN 55406
Behavior Technician
2450 26TH AVE S
MINNEAPOLIS, MN 55406
Home Health
2450 26TH AVE S
MINNEAPOLIS, MN 55406
Behavior Technician
2450 26TH AVE S
MINNEAPOLIS, MN 55406
Behavior Technician
2450 26TH AVE S
MINNEAPOLIS, MN 55406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Wiborg's NPI number?

The NPI number for Elizabeth Wiborg is 1154380871. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Elizabeth Wiborg located?

Elizabeth Wiborg practices at 2450 26th Ave S, Minneapolis, MN 55406. The listed phone number is (612) 721-2491.

What is Elizabeth Wiborg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Elizabeth Wiborg was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.