National Provider Identifier Database

CARLA BODDICKER, LPN – NPI #1770393241
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

CARLA BODDICKER, LPN
4801 VETERANS DR
SAINT CLOUD, MN56303-2015
Phone: 320-252-1670
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
VA 261QV0200X

* Indicates primary specialty

NPI Profile & details for CARLA BODDICKER

NPI Number 1770393241
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/08/2025
Last updated 09/16/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • IA License #: P19170
  • IA License #: P1970
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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