Mary Alice Johnson is a Green Bay, Wisconsin based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Mary Alice Johnson is 033282 for Anesthesia Administration in Wisconsin. Her current practice location is 1726 Shawano Ave, Green Bay. Patients can reach her at 920-498-4200. Mary Alice Johnson is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1417085705. Mary Alice Johnson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mary Alice Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Gender:
Female
Practice Address:
1726 Shawano Ave, Green Bay, Wisconsin, 54303-3216
Phone:
920-498-4200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417085705
NPI Enumeration Date:
01 Mar, 2007
NPI Last Update On:
21 Jul, 2010
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Alice Johnson are as mentioned below.
License Number
Specialization
State
Status
033282
Anesthesia Administration
Wisconsin
Primary
66618-30
Registered Nurse
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Alice Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
43316600
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
225 S Executive Dr, Brookfield, Wisconsin
Zip:
53005-4266
Phone Number:
262-787-4026
Fax Number:
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Patients can reach Mary Alice Johnson at 1726 Shawano Ave, Green Bay, Wisconsin or can call to book an appointment on 920-498-4200.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.