| Doctor Name: | DEBORAH F LIBBESMEIER |
| NPI Number: | 1073761557 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CNP |
| License Number: | R1010206 |
| Business Practice Address: | 200 W 1st St Paynesville, MN - 563621445 |
| Business Phone Number: | 3202433779 |
| Business Fax Number: | 3202437519 |
| Mailing Address: | 200 W 1st St, PAYNESVILLE |
| State: | MN |
| Postal Code: | 563621445 |
| Phone Number: | 3202433779 |
| Fax Number: | 3202437519 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 12/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R1010206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |