Individual ProviderMary M StreffNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, #245, Milwaukee, WI 53215(414) 649-6421(414) 647-6326PECOS EnrollmentBased on the most recent information from CMS, provider Mary M Streff 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 ID1649387747Provider TypeIndividualFull NameStreff, Mary MTitleMs.CredentialAPNPGenderFemaleSole ProprietorNoEnumeration Date8/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, #245, Milwaukee, WI 53215Phone(414) 649-6421Fax(414) 649-3763Mailing LocationMailing Address3301 W Forest Home Ave, Milwaukee, WI 53215-2843Phone(414) 647-6326Fax(414) 671-8860Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1066-033WisconsinCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense69218-030Wisconsin