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Marie Agatha Thomalla, LPN
Licensed Practical Nurse in Baldwin, Wisconsin
NPI 1942592639

Marie Agatha Thomalla is a Licensed Practical Nurse based in Little Canada, WI. Marie Agatha Thomalla practices in Baldwin, WI and has the professional credentials of LPN. The NPI Number for Marie Agatha Thomalla is 1942592639 and holds a License No. L 70522-4 (Wisconsin).

The current practice location address for Marie Agatha Thomalla is 1810 4Th Ave Apt 5, Baldwin, WI and can be reached out via phone at 715-684-4655.

Location: 1810 4Th Ave Apt 5, Baldwin, WI, 55117-1502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942592639
Provider Name
Marie Agatha Thomalla
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1810 4Th Ave Apt 5, Baldwin, WI, 55117-1502
Phone Number
715-684-4655
Fax Number
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1810 4Th Ave Apt 5
City
Baldwin
State
Wisconsin
Zip
54002-5141
Phone Number
715-684-4655
Fax Number
person
Provider Business Mailing Address Details
Address
1810 4Th Ave Apt 5
City
Baldwin
State
Wisconsin
Zip
54002-5141
Phone Number
715-684-4655
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L 70522-4 (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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