Provider Demographics
NPI:1578841359
Name:SYKES, MARGARET DEIDRE (LPN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:DEIDRE
Last Name:SYKES
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 1:3831 N 17TH ST
Mailing Address - Street 2:#3
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-2424
Mailing Address - Country:US
Mailing Address - Phone:414-530-6359
Mailing Address - Fax:
Practice Address - Street 1:3831 N 17TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-2424
Practice Address - Country:US
Practice Address - Phone:414-530-6359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI27346-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse