Fourness, Mary

Fourness, Mary is an individual health care provider with primary practice located at 717 W Moreland Blvd Prohealth Care Medical Associates Moreland Family Medic, Waukesha WI 53188-2432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fourness, Mary can be contacted via phone (262) 542-9100.

Contact Information

Primary practice address
717 W Moreland Blvd Prohealth Care Medical Associates Moreland Family Medic Waukesha WI 53188-2432
Phone: (262) 542-9100
Fax: (262) 542-7366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1754033 Wisconsin

Profile Details

NPI number 1144364001
LBN Legal business name Fourness, Mary
Credentials A.P.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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