Individual ProviderMary Ann MuziNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669(414) 384-5111PECOS EnrollmentBased on the most recent information from CMS, provider Mary Ann Muzi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356625263Provider TypeIndividualFull NameMuzi, Mary AnnCredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/11/2011Last Updated10/13/2023Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669Phone(414) 384-5111FaxUnlisted FaxMailing LocationMailing AddressPO Box 735044, Chicago, IL 60673-5044Phone(414) 384-5111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4629WisconsinProvider IdentifiersIDDescriptionIssuerID100018019DescriptionMedicaidIssuerUnlistedWisconsinIDP01014223DescriptionOtherIssuerRR MEDICAREWisconsin