Mary Syrette, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

34754-031 Issued in WI

Practice address

1200 Merryman St
Marinette, WI 54143-2504

Phone

(715) 923-0811

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1811206584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MERRYMAN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432504",
            "telephone_number": "715-923-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MERRYMAN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432504",
            "telephone_number": "715-923-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRETTE",
        "first_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "34754-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Leona Swan, AUD
• Lisa Joy Swanson, L.P.N
• Michael Swanson, CRNA
• Jeffrey A Swift, MD
• Sandra L Swing, D.D.S.
• Kristina M Tebo, PHYSICAL THERAPIST
• Paula Marie Testin
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)
• The Wellness Clinic Inc.
• James E Thill, MD

• Licensed Practical Nurse in Marinette, WI
• Providers in Marinette, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.