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Mrs. Matilda Kla-diihbah, LPN
Licensed Practical Nurse in Rogers, Minnesota
NPI 1942516893

Matilda Kla-diihbah is a Licensed Practical Nurse based in St Louis Park, MN. Matilda Kla-diihbah practices in Rogers, MN and has the professional credentials of LPN. The NPI Number for Matilda Kla-diihbah is 1942516893 and holds a License No. L047935-6 (Minnesota).

The current practice location address for Matilda Kla-diihbah is 14096 Gadwall Ln, Rogers, MN and can be reached out via phone at 612-708-0910.

Location: 14096 Gadwall Ln, Rogers, MN, 55416-1222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942516893
Provider Name
Matilda Kla-diihbah
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
14096 Gadwall Ln, Rogers, MN, 55416-1222
Phone Number
612-708-0910
Fax Number
Provider Enumeration Date
08/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
348032 01 MN CLASS HOME HEALTH PROFESIONAL AGENCY
institution
Provider Business Practice Location Address Details
Address
14096 Gadwall Ln
City
Rogers
State
Minnesota
Zip
55374-8769
Phone Number
612-708-0910
Fax Number
person
Provider Business Mailing Address Details
Address
14096 Gadwall Ln
City
Rogers
State
Minnesota
Zip
55374-8769
Phone Number
612-708-0910
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L047935-6 (Minnesota)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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