TERESA JOANNE WATTERS NPI 1467635839

NPI Information

  • NPI: 1467635839
  • Provider Name: TERESA JOANNE WATTERS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 744 S WEBSTER AVE
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 433-7411

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NPI Details

Teresa Joanne Watters is a family nurse practitioner in Green Bay, WI. Teresa Joanne Watters NPI is 1467635839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301-505
Phone: (920) 433-7411
Fax: (920) 433-6090

The enumeration date for this NPI number is 12/9/2007 and was last updated on 8/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily3316-33WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000071MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2000040MEDICARE OSCAR/CERTIFICATIONWISCONSIN
3000022MEDICARE OSCAR/CERTIFICATIONWISCONSIN
4P00771816MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5000196MEDICARE OSCAR/CERTIFICATIONWISCONSIN
6000001MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7000026MEDICARE OSCAR/CERTIFICATION
8000033MEDICARE OSCAR/CERTIFICATIONWISCONSIN
9000048MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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