Sybilla Materla
Licensed Practical Nurse in Lakeville, MN. Individual provider (NPI-1).
NPI number1659990331
StatusActive
Last updated in NPPESApr 13, 2020
Details
- NPI
- 1659990331
- Entity type
- Individual (NPI-1)
- Name
- Sybilla Materla
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2020
- Certification date
- Apr 13, 2020
- Last updated
- Apr 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 817084 | MN | Yes |
Practice location
20694 Keystone Ave Unit CLakeville, MN 55044-6175
Phone 612-323-9989
Mailing address
20694 Keystone Ave Unit CLakeville, MN 55044-6175
Phone 612-323-9989
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