Doctor Name: | LIBBIE STOKKE |
NPI Number: | 1104804582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R158703-0 |
Business Practice Address: | 815 2nd St Se Little Falls, MN - 563453505 |
Business Phone Number: | 3206317200 |
Business Fax Number: | 3206320534 |
Mailing Address: | 8565 Paradise Beach Rd, BRAINERD |
State: | MN |
Postal Code: | 564011867 |
Phone Number: | 3204965588 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R158703-0 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |