Peter Mick, NP-C
Nurse Practitioner in Great Bend, KS. Individual provider (NPI-1).
NPI number1164074076
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1164074076
- Entity type
- Individual (NPI-1)
- Name
- Peter Mick
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2019
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 53-78864-062 | KS | Yes |
Practice location
514 Cleveland StGreat Bend, KS 67530-3562
Phone 620-792-8833
Mailing address
514 Cleveland StGreat Bend, KS 67530-3562
Other practice locations
1005 Williams St
Great Bend, KS 67530-4443
Great Bend, KS 67530-4443
Phone 620-285-1915 · Fax 620-269-6095
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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