Provider Demographics
NPI:1689177230
Name:SETREE, MARGARETE A (LVN)
Entity Type:Individual
Prefix:
First Name:MARGARETE
Middle Name:A
Last Name:SETREE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12707 POND WOODS RD APT 2019
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-3653
Mailing Address - Country:US
Mailing Address - Phone:512-982-8502
Mailing Address - Fax:
Practice Address - Street 1:12707 POND WOODS RD APT 2019
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-3653
Practice Address - Country:US
Practice Address - Phone:512-982-8502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313468164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse