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Contact Information

MARY JO FELLER, CRNA APNP
835 S VAN BUREN ST
GREEN BAY, WI54301
 Phone: 920-433-0111
 Fax: 920-433-8765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MARY JO FELLER · (Female)

NPI # 1366542292
Status Active
Credentials CRNA APNP
Entity Individual
Enumeration date 09/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 68944-030
  • WI Medicaid 43276900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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