Most Relevant Information
Provider Data
| NPI Number: | 1003665472 |
| Provider Name: | EMILY ANN NYBERG LAC, DIPL. AC., MAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 2079 |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 05/16/2024 |
Provider Practice Location
1224 2ND ST NE
MINNEAPOLIS
MN
554131130
Practice Location Phone/Fax
| Phone: | 6123455648 |
| Fax: |
Provider Mailing Location
3300 41ST AVE S APT 2
MINNEAPOLIS
MN
554062281
Provider Mailing Phone/Fax
| Phone: | 6518959816 |
| Fax: |