Provider Demographics
NPI:1063096667
Name:KOBYLINSKI, ISABEL MAE (DNP, CNP, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:MAE
Last Name:KOBYLINSKI
Suffix:
Gender:F
Credentials:DNP, CNP, AGPCNP-BC
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:MAE
Other - Last Name:RIZOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 UNIVERSITY AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-3727
Mailing Address - Country:US
Mailing Address - Phone:651-232-2002
Mailing Address - Fax:651-236-9635
Practice Address - Street 1:1700 UNIVERSITY AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-3727
Practice Address - Country:US
Practice Address - Phone:651-232-2002
Practice Address - Fax:651-326-9635
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8450363LG0600X
MN2460379163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse