# PATRICIA DIANE SUISTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548474208
- **Gender:** F
- **Credential:** LPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 304675031 | WI | — |
| 164W00000X | Licensed Practical Nurse | 4703079462 | MI | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 11/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 42023100 | — | WI |