Mary Fourness, A.P.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1754033 Issued in WI

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

NPI assigned

Feb 16, 2007

Last updated

Aug 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1144364001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W MORELAND BLVD",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882432",
            "telephone_number": "262-542-9100",
            "fax_number": "262-542-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W MORELAND BLVD",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882432",
            "telephone_number": "262-542-9100",
            "fax_number": "262-542-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNESS",
        "first_name": "MARY",
        "credential": "A.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1754033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Ford, M.S.,LPC
• Aaron Foreman, LPC
• Amy Forssberg, PHARMD
• Paige Foss
• Jeffrey Merle Fosso, RN
• Julie J. Fournier, AU.D., CCC-A
• Christopher J Fox, MD
• Douglas Fox
• Kristen Elizabeth Fox, M.D.
• Mary C Fox, MD

• Nurse Practitioner in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.