Individual provider · Type 1 NPI

Mary Supple, LPN

Licensed Practical Nurse · Watertown, WI

NPI number 1447653662 Active

Practice location

N6288 Stonewood Dr
Watertown, WI 53094-8710

Call (920) 699-5780 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2602531 (WI)

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.

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About NPI 1447653662

Mary Supple, LPN's National Provider Identifier is 1447653662, issued on Oct 1, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Watertown, WI. The record was last updated on Oct 1, 2014.