Doctor Name: | MRS. SUZANNE P STRAUB |
NPI Number: | 1154467520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 904 |
Business Practice Address: | 11470 Business Blvd Ste 100 Eagle River, AK - 995777721 |
Business Phone Number: | 9076224325 |
Business Fax Number: | 9076224326 |
Mailing Address: | 11470 Business Blvd, Ste 100 EAGLE RIVER |
State: | AK |
Postal Code: | 995777721 |
Phone Number: | 9076224325 |
Fax Number: | 9076224326 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |