Individual provider · Type 1 NPI

Matilda Kla-Diihbah, LPN

Licensed Practical Nurse · Rogers, MN

NPI number 1942516893 Active

Practice location

14096 Gadwall Ln
Rogers, MN 55374-8769

Mailing address

5775 Wayzata Blvd, Suite 700
St. Louis Park, MN 55416-1222

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL047935-6 (MN)

Licensed Practical Nurse: 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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About NPI 1942516893

Matilda Kla-Diihbah, LPN's National Provider Identifier is 1942516893, issued on Aug 28, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rogers, MN. The record was last updated on Aug 28, 2010.