Basic Information
| Provider Information | |||||||||
| NPI: | 1245320753 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OKRINA-KIBIRA | ||||||||
| FirstName: | LUANN | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 420 DELAWARE ST SE | ||||||||
| Address2: | UNIVERSITY OF MINNESOTA PHYSICIANS | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554550341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123028200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1020 W BROADWAY AVE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554112504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123028200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 08/17/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WW0101X | R111536-3 | MN | Y | Nursing Service Providers | Registered Nurse | Women's Health Care, Ambulatory |
ID Information
| ID | Type | State | Issuer | Description | 500769 | 01 | MN | FAIRVIEW | OTHER | 037R2KI | 01 | MN | BCBS | OTHER | 1025780 | 01 | MN | PREFERRED ONE | OTHER | 151283 | 01 | MN | U CARE | OTHER | 433983500 | 05 | MN | MEDICAID | 07-01401 | 01 | MN | MEDICA-CHOICE | OTHER | 1344488 | 01 | ARAZ | OTHER | HP32923 | 01 | MN | HEALTH PARTNERS | OTHER |