Provider Demographics
NPI:1215790647
Name:SCHINDLER, MISTY DAWN (RN)
Entity type:Individual
Prefix:
First Name:MISTY
Middle Name:DAWN
Last Name:SCHINDLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MISTY
Other - Middle Name:DAWN
Other - Last Name:MECHTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1039 DARWIN CT
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-2461
Mailing Address - Country:US
Mailing Address - Phone:608-769-8762
Mailing Address - Fax:
Practice Address - Street 1:1005 DEERFIELD ST
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636-9446
Practice Address - Country:US
Practice Address - Phone:608-769-8762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1110444-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse