Doctor Name: | MR. JONATHAN CARNEY STROHL |
NPI Number: | 1043574080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NURSE PRACTITIONER |
License Number: | 658002 |
Business Practice Address: | 239 Mountaire Pkwy Clayton, CA - 945171650 |
Business Phone Number: | 8584012987 |
Business Fax Number: | |
Mailing Address: | 239 Mountaire Pkwy, CLAYTON |
State: | CA |
Postal Code: | 945171650 |
Phone Number: | 8584012987 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2012 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 658002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |