Mickey Peasley, R.N.
Individual provider Active NPI Registered Nurse · Muscoda, WI
NPI 1205280237 · NPPES record last updated Apr 15, 2016
Key facts
- NPI
- 1205280237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 135964-30 (WI)
- Practice address
- 298 N 7TH St
Trailer # 9
Muscoda, WI 53573-9211 - Phone
- (608) 604-7890
- NPI assigned
- Apr 15, 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 |
|---|---|---|---|
| 135964-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 135964-30 | WI | Yes |
Addresses
Primary practice location
298 N 7TH St
Trailer # 9
Muscoda, WI 53573-9211
Mailing address
PO Box 676
Muscoda, WI 53573-0676
Phone (608) 604-7890
Other providers in Muscoda, WI
- Christina A Miess
- Erin Miess
- Muscoda Joint Fire District
- Muscoda Wi Opco LLC
- Danielle Pauls
- Richland Hospital
- Richland Hospital
- John Rigby
- Riverdale School District
- Riverway Communities of Hope
All providers in Muscoda, 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 Apr 15, 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.