MRS. MATILDA KLA-DIIHBAH LPN
NPI 1942516893
Licensed Practical Nurse in Rogers, MN

Active since August 28, 2010
14096 GADWALL LN, ROGERS, MN 55374(612) 708-0910 Get Directions Write a Review

NPPES record last updated: August 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Matilda Kla-diihbah Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MATILDA KLA-DIIHBAH LPN (NPI 1942516893) is an individual licensed practical nurse in Rogers, Minnesota, licensed in Minnesota (L047935-6) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1942516893
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MATILDA KLA-DIIHBAHCredential: LPN
Location Address14096 GADWALL LNRogers, MN 55374-8769
Mailing Address5775 Wayzata Blvd, Suite 700St Louis Park, MN 55416-1222 · (612) 708-0910
Sole ProprietorNo
Enumeration DateAugust 28, 2010
NPI 1942516893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MN · L047935-6
Definition

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.

14096 GADWALL LN, Rogers, MN 55374

Other Identifiers 1

Other348032MN · Class Home Health Profesional Agency

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
14096 GADWALL LN
ROGERS, MN 55374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942516893, enumerated as an "individual" on August 28, 2010.

The provider is located at 14096 GADWALL LN ROGERS, MN 55374 and the phone number is (612) 708-0910.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.