Provider Demographics
NPI:1346549623
Name:PAUL, SYLVIA M (LPN)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:M
Last Name:PAUL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 N 46TH ST
Mailing Address - Street 2:#225
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53223-3765
Mailing Address - Country:US
Mailing Address - Phone:414-371-0936
Mailing Address - Fax:
Practice Address - Street 1:8330 N 46TH ST
Practice Address - Street 2:#225
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53223-3765
Practice Address - Country:US
Practice Address - Phone:414-371-0936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI313328-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse