Crystal Pingel, RN
Individual provider Active NPI Registered Nurse · Freedom, WI
NPI 1063966869 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1063966869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 153544 (WI)
- Practice address
- N4235 Killarney LN
Freedom, WI 54130-7168 - Phone
- (920) 915-3076
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153544 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 153544 | WI | Yes |
Addresses
Primary practice location
N4235 Killarney LN
Freedom, WI 54130-7168
Mailing address
N4235 Killarney LN
Freedom, WI 54130-7168
Phone (920) 915-3076
Other providers in Freedom, WI
- Rebecca Lemay
- David Jude Lenz
- Kathleen Ann Linskens
- Cassie Mae Mathis
- Angela Merbach
- Andrea C Schimke
- Aubry Lin Springstroh
- Hilary Van Camp
- Ver Voort Chiropractic
- Betty Jean Weyland
All providers in Freedom, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.