Individual ProviderMiriam ColtonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4111 W Mitchell St, Suite 300, Milwaukee, WI 53215-1748(414) 643-5755PECOS EnrollmentBased on the most recent information from CMS, provider Miriam Colton 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 ID1720387913Provider TypeIndividualFull NameColton, MiriamTitleMs.GenderFemaleSole ProprietorNoEnumeration Date3/28/2011Last Updated11/29/2021Contact InformationPractice LocationPractice Address4111 W Mitchell St, Suite 300, Milwaukee, WI 53215-1748Phone(414) 643-5755Fax(414) 643-5780Mailing LocationMailing Address4111 W Mitchell St, Suite 300, Milwaukee, WI 53215-1748Phone(414) 643-5755Fax(414) 643-5780Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4368-033Wisconsin