Sybilla Materla, is a
Licensed Practical Nurse based in Lakeville, Minnesota. Sybilla Materla is licensed to practice in Minnesota (license number 817084) and her current practice location is
20694 Keystone Ave Unit C, Lakeville, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 323-9989.
NPI number for Sybilla Materla is 1659990331 and her current mailing address is 20694 Keystone Ave Unit C, Lakeville, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659990331.
Provider's Profile
| Full Name | Sybilla Materla |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 20694 Keystone Ave Unit C, Lakeville, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659990331
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 04/13/2020
Medical Identifiers
Medical identifiers for Sybilla Materla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659990331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 817084 (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. Sybilla Materla 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 |
|---|
Sybilla Materla,
20694 Keystone Ave Unit C,
Lakeville, MN 55044-6175
Ph: (612) 323-9989 | Sybilla Materla,
20694 Keystone Ave Unit C,
Lakeville, MN 55044-6175
Ph: (612) 323-9989 |
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