Micky Jean Wilde in Denmark - Registered Nurse
Micky Jean Wilde - NPI 1376504860
Micky Jean Wilde is a Registered Nurse in Denmark, Wisconsin. Micky Jean Wilde practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Micky Jean Wilde is 1376504860. The last update date is 2007-07-09.
Micky Jean Wilde's current location address is E517 Bolt Rd, Denmark, Wisconsin. You can contact this provider via phone number 9207761670. The mailing address for Micky Jean Wilde is E517 Bolt Rd, Denmark, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Micky Jean Wilde |
|---|---|
| Address | E517 Bolt Rd, Denmark, Wisconsin |
| Phone Number | 9207761670 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1376504860 |
|---|---|
| Provider Enumeration Date | 2006-04-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | E517 Bolt Rd |
|---|---|
| City | Denmark |
| State | Wisconsin (WI) |
| Post Code | 542089649 |
| Phone Number | 9207761670 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38337400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Micky Jean Wilde?
The Micky Jean Wilde has been issued the NPI (National Provider Identifier) 1376504860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Micky Jean Wilde?
The Micky Jean Wilde is situated at E517 Bolt Rd, in the city of Denmark, state of WI, with the zip code 542089649.
What is Micky Jean Wilde's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Micky Jean Wilde is Registered Nurse, and the corresponding taxonomy classification code for this specialized field is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376504860 to Micky Jean Wilde?
The Centers for Medicare & Medicaid Services assigned the 1376504860 to Micky Jean Wilde on 2006-04-01.
When was the information regarding Micky Jean Wilde, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Micky Jean Wilde, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.