Provider Demographics
NPI:1417901505
Name:HASKEY, MARGARET JABELLANA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JABELLANA
Last Name:HASKEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9336 SHERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9131
Mailing Address - Country:US
Mailing Address - Phone:414-855-0636
Mailing Address - Fax:
Practice Address - Street 1:8801 W OKLAHOMA AVE
Practice Address - Street 2:APT. 208
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-4573
Practice Address - Country:US
Practice Address - Phone:414-543-4159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV38264000Medicaid