Mary Jo Glaspey, RN
Individual provider Active NPI Neonatal Intensive Care Registered Nurse · Waterford, WI
NPI 1255208484 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1255208484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Intensive Care Registered Nurse 163WN0002X
- License
- 64574-30 (WI)
- Practice address
- 30734 Morning View Cir
Waterford, WI 53185-2480 - Phone
- (414) 803-6588
- NPI assigned
- Oct 22, 2025
- 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 |
|---|---|---|---|
| 64574-30 | WI | MD | Neonatal Intensive Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 64574-30 | WI | Yes |
Addresses
Primary practice location
30734 Morning View Cir
Waterford, WI 53185-2480
Mailing address
30734 Morning View Cir
Waterford, WI 53185-2480
Phone (414) 803-6588
Other providers in Waterford, WI
- Megan Funk
- Jenny R Geiger-Putra
- Daniel Mark Gifford
- Jeffrey Scott Gilane
- George E Gilmore IV
- Kristin Gorenc
- Mary Grajewski
- Lisa Haeuser
- Mariah Hanrahan
- Joyanne Hickman
All providers in Waterford, WI · Neonatal Intensive Care 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 Oct 22, 2025. 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.