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MARGUERITE NANCY KIBIRA PAC
NPI 1497757470
Physician Assistant in Fridley, MN

Active since August 10, 2005
755 53RD AVE NE, FRIDLEY, MN 55421(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2018, Apr 2, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Marguerite Nancy Kibira Pac NPPES

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

MARGUERITE NANCY KIBIRA PAC (NPI 1497757470) is an individual physician assistant in Fridley, Minnesota, licensed in Minnesota (9010) and active in the NPI registry since August 2005. She maintains a secondary practice location in Minnetonka.

NPPES Registry Identity

NPI1497757470
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARGUERITE NANCY KIBIRACredential: PAC
Location Address755 53RD AVE NEFridley, MN 55421-1240
Mailing Address755 53rd Ave NeFridley, MN 55421-1240 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateDecember 5, 20183 updates tracked since enumeration
✔ NPI 1497757470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9010
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
755 53RD AVE NE, Fridley, MN 55421
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Secondary Practice Location 1

Location 113201 Ridgedale DrMinnetonka, MN 55305-1809 · Phone (952) 542-8266

Other Identifiers 5

Other106468C620U Care For Senior
OtherFP14201016107Preferred One
Medicaid277590500MN
Other0119796Medica
Other106468U Care Medical Assist

Other Providers at the Same Location NPPES 14

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

JANET GAY FLANAGAN PA
Physician Assistant (Medical)
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (763) 571-9361
BROOKE SCHROEPFER
Physician Assistant
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (866) 389-2727
WILLIAM S JOHNSON
Pharmacist
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (763) 571-9766
MS. MILLICENT WANJOHI PA-C
Physician Assistant (Medical)
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (763) 862-9656
DR. PHUONG T WIPPLER PHARMD
Pharmacist (Ambulatory Care)
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (763) 571-9766
DR. JENNIFER ANN BRUMMER PHARMD
Pharmacist
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (763) 571-9766
DR. NAOMI MEHN NGAIMA PHARMD
Pharmacist
755 53RD AVE NE
FRIDLEY, MN 55421
Anoka County (763) 291-3782
RACHAEL MOBERG PA-C
Physician Assistant
755 53RD AVE NE, CVS MINUTE CLINIC
FRIDLEY, MN 55421
Anoka County (763) 571-9361

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 Marguerite Kibira's NPI number?

The NPI number for Marguerite Kibira is 1497757470. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Marguerite Kibira located?

Marguerite Kibira practices at 755 53rd Ave NE, Fridley, MN 55421. The listed phone number is (866) 389-2727.

What is Marguerite Kibira's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marguerite Kibira was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.