Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Alice Johnson, CRNA

Individual provider Registered Nurse · NPI 1417085705

Mary Alice Johnson, CRNA is a Registered Nurse in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (920) 498-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 033282 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 66618-30 (WI)

Record details

NPI number1417085705
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 1, 2007
Last updated in NPPESJuly 21, 2010

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