Carrie Manlick, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

87293 Issued in WI

Practice address

W296N2124 Glen Cove Rd
Pewaukee, WI 53072-4833

Phone

(262) 695-2287

NPI assigned

Sep 1, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carrie Petersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1629445077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W296N2124 GLEN COVE RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724833",
            "telephone_number": "262-695-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W296N2124 GLEN COVE RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724833",
            "telephone_number": "262-695-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLICK",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "87293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "PETERSEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ingo G Mahn, DDS
• Melissa Malloy, PA-C
• Geoffrey K Malone, LCSW
• Trudy Malone, MD
• Deborah L Manjoney, MD
• Mariam Mansour
• Edward J Manteufel, RPH
• Janet Susan McCarthy McAuliffe, MD
• Cassidy C McFarlane, DPT
• Amy McGinnis

• Registered Nurse in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.