person
Mary Supple, LPN
Licensed Practical Nurse in Watertown, Wisconsin
NPI 1447653662

Mary Supple is a Licensed Practical Nurse based in Watertown, WI. Mary Supple practices in Watertown, WI and has the professional credentials of LPN. The NPI Number for Mary Supple is 1447653662 and holds a License No. 2602531 (Wisconsin).

The current practice location address for Mary Supple is N6288 Stonewood Dr, Watertown, WI and can be reached out via phone at 920-699-5780.

Location: N6288 Stonewood Dr, Watertown, WI, 53094-8710
person
Provider Profile Details
NPI Number
1447653662
Provider Name
Mary Supple
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
N6288 Stonewood Dr, Watertown, WI, 53094-8710
Phone Number
920-699-5780
Fax Number
Provider Enumeration Date
10/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N6288 Stonewood Dr
City
State
Zip
53094-8710
Phone Number
920-699-5780
Fax Number
person
Provider Business Mailing Address Details
Address
N6288 Stonewood Dr
City
State
Zip
53094-8710
Phone Number
920-699-5780
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
2602531 (Wisconsin)
Definition
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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