Healthcare Provider Details

I. General information

NPI: 1518178326
Provider Name (Legal Business Name): MARY E STRAFFE R.N.P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 CROSSWICKS RD SUITE 2
BORDENTOWN NJ
08505-2602
US

IV. Provider business mailing address

810 4TH AVE
BRISTOL PA
19007-3224
US

V. Phone/Fax

Practice location:
  • Phone: 609-298-7204
  • Fax: 609-298-0491
Mailing address:
  • Phone: 609-610-4742
  • Fax: 215-785-5409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NNO05840300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: