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NPI Profile for CARLA BODDICKER in SAINT CLOUD, MN.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Licensed Practical Nurse |
164W00000X | |||
VA |
261QV0200X |
| NPI Number | 1770393241 |
|
| Status | Active | |
| Credentials | LPN (Licensed Practical Nurse) | |
| Entity | Individual | |
| Enumeration date | 01/08/2025 | |
| Last updated | 09/16/2025 - About 9 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARLA BODDICKER
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CARLA BODDICKER, LPN