Healthcare Provider Details

I. General information

NPI: 1912150673
Provider Name (Legal Business Name): RENE ROCHELLE STRAUB NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENE ROCHELLE URBAN

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 M 119 STE A
HARBOR SPRINGS MI
49740-9373
US

IV. Provider business mailing address

495 ARCADIA DR
HARBOR SPRINGS MI
49740-9567
US

V. Phone/Fax

Practice location:
  • Phone: 231-437-7741
  • Fax: 231-347-2861
Mailing address:
  • Phone: 231-373-7204
  • Fax: 231-347-2861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704200966
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704200966
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: