SYBILLA MATERLA
NPI 1659990331
Licensed Practical Nurse in Lakeville, MN
- Individual
- Female
- Licensed Practical Nurse
About SYBILLA MATERLA
This page provides the complete NPI Profile along with additional information for Sybilla Materla, a provider established in Lakeville, Minnesota with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1659990331 assigned on April 2020. The practitioner's primary taxonomy code is 164W00000X with license number 817084 (MN). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1659990331 Verify this NPI
- Provider Name
- SYBILLA MATERLA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 20694 KEYSTONE AVE UNIT C LAKEVILLE, MN 55044
- Location Phone
- (612) 323-9989
- Mailing Address
- 20694 KEYSTONE AVE UNIT C LAKEVILLE, MN 55044
- Mailing Phone
- (612) 323-9989
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-13-2020
- Last Update Date
- 04-13-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 817084
- License State
- MN
- Taxonomy Description
- A licensed practical nurse 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659990331, enumerated as an "individual" on April 13, 2020.
The provider is located at 20694 KEYSTONE AVE UNIT C LAKEVILLE, MN 55044 and the phone number is (612) 323-9989.
Licensed Practical Nurse with taxonomy code 164W00000X.
