Healthcare Provider Details

I. General information

NPI: 1801719067
Provider Name (Legal Business Name): QUENTANYA STRANGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 17TH ST
COLUMBUS IN
47201-5351
US

IV. Provider business mailing address

1952 WHITE OAK LN
SHELBYVILLE IN
46176-8023
US

V. Phone/Fax

Practice location:
  • Phone: 800-841-4938
  • Fax:
Mailing address:
  • Phone: 859-576-7642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28293775C
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: