Individual provider · Type 1 NPI
Marie Agatha Thomalla, LPN
Licensed Practical Nurse · Baldwin, WI
NPI number
1942592639
Active
Practice location
1810 4th Ave Apt 5
Baldwin, WI 54002-5141
Mailing address
122 Canabury Ct
Little Canada, MN 55117-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L 70522-4 (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.
Another provider at this address
Other licensed practical nurse providers in Baldwin
About NPI 1942592639
Marie Agatha Thomalla, LPN's National Provider Identifier is 1942592639, issued on May 12, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baldwin, WI. The record was last updated on May 12, 2011.