Provider Demographics
NPI:1194899567
Name:STREICHER, PATRICE M (APNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICE
Middle Name:M
Last Name:STREICHER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:MS
Other - First Name:PATRICE
Other - Middle Name:M
Other - Last Name:UDELHOFEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:1001 N SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-4232
Mailing Address - Country:US
Mailing Address - Phone:608-284-0202
Mailing Address - Fax:608-283-8999
Practice Address - Street 1:1001 N SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4232
Practice Address - Country:US
Practice Address - Phone:608-284-0202
Practice Address - Fax:608-283-8999
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI778363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner