Nicole Kwyzla, LPN is a
Licensed Practical Nurse based in Savage, Minnesota. Nicole Kwyzla is licensed to practice in Minnesota (license number 786803) and her current practice location is
6001 Egan Dr Ste 150, Savage, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 693-0545.
NPI number for Nicole Kwyzla is 1912757758 and her current mailing address is 4235 206th St W, Farmington, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912757758.
Provider's Profile
| Full Name | Nicole Kwyzla |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 6001 Egan Dr Ste 150, Savage, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912757758
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Nicole Kwyzla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912757758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 786803 (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. Nicole Kwyzla 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 Address | Practice Location Address |
|---|
Nicole Kwyzla, LPN
4235 206th St W,
Farmington, MN 55024-8817
Ph: () - | Nicole Kwyzla, LPN
6001 Egan Dr Ste 150,
Savage, MN 55378-4915
Ph: (952) 693-0545 |
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