Healthcare Provider Details

I. General information

NPI: 1568644110
Provider Name (Legal Business Name): SARAH E STRANSKE CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BODIN CIR
TRAVIS AFB CA
94535-1809
US

IV. Provider business mailing address

149 HART AVENUE 82D MDOS
SHEPPARD AFB TX
76311-0000
US

V. Phone/Fax

Practice location:
  • Phone: 707-423-3000
  • Fax:
Mailing address:
  • Phone: 940-676-4917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number564292
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: