Marie Agatha Thomalla, LPN - Licensed Practical Nurse in Baldwin, WI

Marie Agatha Thomalla, LPN is a Licensed Practical Nurse based in Baldwin, Wisconsin. Marie Agatha Thomalla is licensed to practice in Minnesota (license number L 70522-4) and her current practice location is 1810 4th Ave Apt 5, Baldwin, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 684-4655.

NPI number for Marie Agatha Thomalla is 1942592639 and her current mailing address is 122 Canabury Ct, Little Canada, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942592639.

Contact Information

Marie Agatha Thomalla, LPN
1810 4th Ave Apt 5,
Baldwin, WI 54002-5141
(715) 684-4655
Not Available



Provider's Profile

Full NameMarie Agatha Thomalla
GenderFemale
SpecialityLicensed Practical Nurse
Location1810 4th Ave Apt 5, Baldwin, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942592639
  • Provider Enumeration Date: 05/12/2011
  • Last Update Date: 05/12/2011

Medical Identifiers

Medical identifiers for Marie Agatha Thomalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942592639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L 70522-4 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marie Agatha Thomalla is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marie Agatha Thomalla, LPN
122 Canabury Ct,
Little Canada, MN 55117-1502

Ph: (763) 238-1979
Marie Agatha Thomalla, LPN
1810 4th Ave Apt 5,
Baldwin, WI 54002-5141

Ph: (715) 684-4655

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Licensed Practical Nurse Nurses in Baldwin, WI

Ms. Jammie Lynn Jacobs, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 668 Willow St, Baldwin, WI 54002
Phone: 651-734-8700    
Elaine Marie Sorensen, L..P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Maple St, Baldwin, WI 54002
Phone: 715-684-4655    
Kaci Lee Tolzman, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1810 4th Ave Apt 5, Baldwin, WI 54002
Phone: 715-684-4655    
Joana Mcclelland, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Maple St, Baldwin, WI 54002
Phone: 715-684-4655    

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