Individual
MS. MARY THERESE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
1221 WHIPPLE ST, EAU CLAIRE, WI 54703-5270
(715) 552-5346
Mailing address
PO BOX 1185, EAU CLAIRE, WI 54702-1185
(715) 552-5346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2374-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41195400
—
WI
Enumeration date
03/14/2006
Last updated
03/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us