Healthcare Provider Details

I. General information

NPI: 1154297877
Provider Name (Legal Business Name): JOSEPH WILLIAM STROM RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 COLLEGE ST SE
DECATUR AL
35601-5316
US

IV. Provider business mailing address

2502 COLLEGE ST SE
DECATUR AL
35601-5316
US

V. Phone/Fax

Practice location:
  • Phone: 256-345-7210
  • Fax:
Mailing address:
  • Phone: 256-345-7210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1-203638
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: