Individual
MARY MONICA STREATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNM, RN
Contact information
Practice address
606 24TH AVE S STE 300, MINNEAPOLIS, MN 55454-1437
(612) 273-7111
Mailing address
606 24TH AVE S STE 300, MINNEAPOLIS, MN 55454-1437
(651) 273-7111
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
2465986
MN
367A00000X
Advanced Practice Midwife
Primary
482
MN
Other
Enumeration date
05/26/2020
Last updated
03/24/2023
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