Individual
PATRICIA DIANE SUISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
97 S 4TH ST, ISHPEMING, MI 49849-2168
(906) 228-9699
(906) 485-1150
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
(906) 228-9699
(906) 485-1150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
304675031
WI
164W00000X
Licensed Practical Nurse
Primary
4703079462
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42023100
—
WI
Enumeration date
05/10/2007
Last updated
11/03/2017
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