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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: August 09, 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
Phone(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
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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.

ELSELIA HOME HEALTHCARE SERVICES INC
Home Health
14096 GADWALL LN
ROGERS, MN 55374
Hennepin County (763) 957-2560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matilda Kla-diihbah's NPI number?

The NPI number for Matilda Kla-diihbah is 1942516893. It was assigned to this individual provider in the NPPES registry on August 28, 2010.

Where is Matilda Kla-diihbah located?

Matilda Kla-diihbah practices at 14096 Gadwall Ln, Rogers, MN 55374. The listed phone number is (612) 708-0910.

What is Matilda Kla-diihbah's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Matilda Kla-diihbah was last updated on August 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.