MARY B KLONECKI (NPI# 1336421460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336421460 |
| Entity Type | Individual |
| Full Name | MARY B KLONECKI |
| Other Name | MARY B PRONSCHINSKE |
| Credential | APNP |
| Practice Address |
625 W Main St Arcadia WI 54612-1227 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6083233210 |
| Mailing Telephone | (608) 782-7300 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2036302 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5228 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
203630-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 W MAIN ST |
| City | ARCADIA |
| State | WI |
| Zip Code | 54612-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750779013 | Holly Marie Glanville | Registered Nurse | 625 W Main St, Arcadia, WI 54612-1227 | 2015-01-08 |
| 1215270202 | Gundersen Clinic Ltd | Non-Pharmacy Dispensing Site | 625 W Main St, Arcadia, WI 54612-1227 | 2013-03-28 |
| 1265786487 | Sherri L Bohlinger | Nurse Practitioner | 625 W Main St, Arcadia, WI 54612-1227 | 2012-11-09 |
| 1710233275 | Christina Ann Schank | Nurse Practitioner | 625 W Main St, Arcadia, WI 54612-1227 | 2012-08-01 |
| 1043466279 | Gundersen Clinic, Ltd. | Clinic/Center | 625 W Main St, Arcadia, WI 54612-1227 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396099065 | Gundersen Clinic Ltd | Clinic/Center | 108 S 3rd St, Arcadia, WI 54612 | 2012-11-02 |
| 1972605731 | Alan J Bassuener | Chiropractor | 308 St Joseph Ave Suite 2, Arcadia, WI 54612 | 2006-09-02 |
| 1841231354 | Iwona E Lewis | Physical Therapist | 464 S St Joseph Avenue, Arcadia, WI 54612 | 2006-06-08 |
| 1023008547 | Bert S Hodous | Family Medicine | 895 Dettloff Dr, Arcadia, WI 54612 | 2005-10-26 |
| 1831448299 | Mary A. Green | Nurse Practitioner | 895 Dettloff Dr, Arcadia, WI 54612 | 2012-08-31 |
| 1508937780 | David E Brown | Counselor | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-11-10 |
| 1679510507 | Janet W Butler | Social Worker | 895 Dettloff Dr, Arcadia, WI 54612 | 2006-05-31 |
| 1992700421 | Connie M Hoppe | Nurse Practitioner | 209 N 3rd St, Arcadia, WI 54612-1002 | 2005-06-21 |
| 1962020487 | Robert Burge | Physical Therapy Assistant | 108 Grant St, Arcadia, WI 54612-1206 | 2020-07-10 |
| 1215217492 | Christopher Ferstenou | Physical Therapy Assistant | 464 S Saint Joseph Ave Ste 100, Arcadia, WI 54612-1401 | 2011-08-19 |
| Find all providers in zip 54612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807997 | Betzaida Ortega | Nurse Practitioner | 11252 La Rosa Dr, Arcadia, CA 91006-5928 | 2020-09-23 |
| 1780211607 | Jennifer Stevenson Roy | Nurse Practitioner | 1175 Pine St Ste 100, Arcadia, LA 71001-3122 | 2020-03-23 |
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1982261467 | Keosha Jackson | Nurse Practitioner | 1843 Sw Hendry St, Arcadia, FL 34266-8999 | 2019-05-21 |
| 1689142846 | Tamara Porter | Nurse Practitioner | 1693 Nw Pine Creek Ave, Arcadia, FL 34266-5176 | 2018-11-06 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1275063687 | Jennifer Ruth Li | Nurse Practitioner | 289 W Huntington Dr Ste 305, Arcadia, CA 91007-3495 | 2017-06-18 |
| 1730623851 | Jessica Alexandra Fennell-thomas | Nurse Practitioner | 1148 E Gibson St Bldg B, Arcadia, FL 34266-5011 | 2016-12-08 |
| 1093268278 | Amy Dawn Maley | Nurse Practitioner | 75 W Shore Dr, Arcadia, OK 73007-7107 | 2016-07-25 |
| 1790024297 | Vien Thanh Nguyen | Nurse Practitioner | 354 Harvard Dr, Arcadia, CA 91007-2636 | 2013-02-05 |
| Find all providers in ARCADIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.