| Teresa J Chouinard, APNP | |
|
620 W Brown St, Waupun, WI 53963-1702 | |
| (920) 324-6846 | |
| Not Available |
| Full Name | Teresa J Chouinard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 620 W Brown St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659722809 | NPI | - | NPPES |
| 7033-33 | Other | WI | WI LICENSE |
| 146532-30 | Other | WI | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7033-33 (Wisconsin) | Primary |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa J Chouinard, APNP 620 W Brown St, Waupun, WI 53963-1702 Ph: () - | Teresa J Chouinard, APNP 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-6846 |
Ms. Mary Ann Gorske, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 920-324-5571 | |
Stephanie Lynn Bush, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 Gateway Dr, Waupun, WI 53963 Phone: 920-324-9899 Fax: 920-324-9899 | |
Jessica Y Sullivan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6801 Fax: 920-324-9765 | |
Ms. Melissa A. Johnson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-6290 | |
Samantha L Thiede, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6801 | |
Peggy L Keuler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 W Lincoln St, Waupun, WI 53963 Phone: 920-324-5577 | |
Elizabeth Ann Kartechner, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6801 Fax: 920-324-9765 |