| Doctor Name: | CHRIS EDWIN ANIBAL |
| NPI Number: | 1316263569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN CNP |
| License Number: | R 186591-4 |
| Business Practice Address: | 404 W Fountain St Albert Lea, MN - 560072437 |
| Business Phone Number: | 5073732384 |
| Business Fax Number: | |
| Mailing Address: | 404 W Fountain St, ALBERT LEA |
| State: | MN |
| Postal Code: | 560072437 |
| Phone Number: | 5073732384 |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2010 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R 186591-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |