Mary Supple, LPN is a licensed practical nurse in Watertown, WI. The provider is a licensed practical nurse 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. Mary Supple, LPN NPI is 1447653662. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
N6288 STONEWOOD DR
WATERTOWN, WI
ZIP 53094-710
Phone: (920) 699-5780
The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/1/2014.