MARY SUPPLE LPN
NPI 1447653662
Licensed Practical Nurse in Watertown, WI

Q: What is Mary Supple's NPI number?

The NPI number for Mary Supple is 1447653662. It was assigned to this individual provider in the NPPES registry on October 1, 2014. The provider is also known as Mary Gilbertson.

Q: What is Mary Supple's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Supple was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2014

N6288 STONEWOOD DR, WATERTOWN, WI 53094(920) 699-5780 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Supple Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY SUPPLE LPN (NPI 1447653662) is an individual licensed practical nurse in Watertown, Wisconsin, licensed in Wisconsin (2602531) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1447653662

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARY SUPPLECredential: LPN

Location AddressN6288 STONEWOOD DRWatertown, WI 53094-8710

Mailing AddressN6288 Stonewood DrWatertown, WI 53094-8710 · (920) 699-5780

Phone(920) 699-5780

Sole ProprietorYes

Enumeration DateOctober 1, 2014

✔ NPI 1447653662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WI · 2602531

Definition

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.

N6288 STONEWOOD DR, Watertown, WI 53094

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Other Names 1

Former Name (1)Mary Gilbertson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Supple's NPI number?

The NPI number for Mary Supple is 1447653662. It was assigned to this individual provider in the NPPES registry on October 1, 2014. The provider is also known as Mary Gilbertson.

Where is Mary Supple located?

Mary Supple practices at N6288 Stonewood Dr, Watertown, WI 53094. The listed phone number is (920) 699-5780.

What is Mary Supple's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Supple was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.