Provider Demographics
NPI:1376782904
Name:SINOE, MARTHA TYLA (LPN)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:TYLA
Last Name:SINOE
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 1:5166 N LOVERS LANE RD APT NOA-16
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53225-3747
Mailing Address - Country:US
Mailing Address - Phone:414-231-9376
Mailing Address - Fax:
Practice Address - Street 1:5166 N LOVERS LANE RD APT NOA-16
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-3747
Practice Address - Country:US
Practice Address - Phone:414-231-9376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI304930-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse