Provider Demographics
NPI:1316440209
Name:EHMANN, MARIA NOEL
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:NOEL
Last Name:EHMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4189 COUNTY RD E
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:WI
Mailing Address - Zip Code:54443-9637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3500 HOOVER RD
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-5600
Practice Address - Country:US
Practice Address - Phone:715-342-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8292-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily