Mrs Matilda Kla-diihbah, LPN - Licensed Practical Nurse in Rogers, MN

Mrs Matilda Kla-diihbah, LPN is a Licensed Practical Nurse based in Rogers, Minnesota. Mrs Matilda Kla-diihbah is licensed to practice in Minnesota (license number L047935-6) and her current practice location is 14096 Gadwall Ln, Rogers, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 708-0910.

NPI number for Mrs Matilda Kla-diihbah is 1942516893 and her current mailing address is 5775 Wayzata Blvd, Suite 700, St Louis Park, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942516893.

Contact Information

Mrs Matilda Kla-diihbah, LPN
14096 Gadwall Ln,
Rogers, MN 55374-8769
(612) 708-0910
Not Available



Provider's Profile

Full NameMrs Matilda Kla-diihbah
GenderFemale
SpecialityLicensed Practical Nurse
Location14096 Gadwall Ln, Rogers, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942516893
  • Provider Enumeration Date: 08/28/2010
  • Last Update Date: 08/28/2010

Medical Identifiers

Medical identifiers for Mrs Matilda Kla-diihbah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942516893NPI-NPPES
348032OtherMNCLASS HOME HEALTH PROFESIONAL AGENCY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L047935-6 (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. Mrs Matilda Kla-diihbah 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
Mrs Matilda Kla-diihbah, LPN
5775 Wayzata Blvd, Suite 700,
St Louis Park, MN 55416-1222

Ph: (612) 708-0910
Mrs Matilda Kla-diihbah, LPN
14096 Gadwall Ln,
Rogers, MN 55374-8769

Ph: (612) 708-0910

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Licensed Practical Nurse Nurses in Rogers, MN

Tammy Lynn Woodward, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 21308 John Milless Dr, Suite 202, Rogers, MN 55374
Phone: 763-428-3510    
Stellah Aondo,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13536 Aspen Dr, Rogers, MN 55374
Phone: 763-439-8808    

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