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MARIE AGATHA THOMALLA LPN
NPI 1942592639
Licensed Practical Nurse in Baldwin, WI

Active since May 12, 2011
1810 4TH AVE APT 5, BALDWIN, WI 54002(715) 684-4655 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marie Agatha Thomalla Lpn NPPES

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

MARIE AGATHA THOMALLA LPN (NPI 1942592639) is an individual licensed practical nurse in Baldwin, Wisconsin, licensed in Minnesota (L 70522-4) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1942592639
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARIE AGATHA THOMALLACredential: LPN
Location Address1810 4TH AVE APT 5Baldwin, WI 54002-5141
Mailing Address122 Canabury CtLittle Canada, MN 55117-1502 · (763) 238-1979
Phone(715) 684-4655
Sole ProprietorYes
Enumeration DateMay 12, 2011
✔ NPI 1942592639 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 · L 70522-4
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.
1810 4TH AVE APT 5, Baldwin, WI 54002
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Other Providers at the Same Location NPPES

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

KAYODE IDOWU RN
Registered Nurse
1810 4TH AVE APT 5
BALDWIN, WI 54002
St. Croix County (715) 684-4655

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 Marie Thomalla's NPI number?

The NPI number for Marie Thomalla is 1942592639. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Marie Thomalla located?

Marie Thomalla practices at 1810 4th Ave Apt 5, Baldwin, WI 54002. The listed phone number is (715) 684-4655.

What is Marie Thomalla'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 Marie Thomalla was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.