Healthcare Provider Details

I. General information

NPI: 1841254729
Provider Name (Legal Business Name): PAULA STRAUB APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 VENTNOR AVE
MARGATE CITY NJ
08402-2218
US

IV. Provider business mailing address

9501 VENTNOR AVE
MARGATE CITY NJ
08402-2218
US

V. Phone/Fax

Practice location:
  • Phone: 609-823-6161
  • Fax: 609-823-3413
Mailing address:
  • Phone: 609-823-6161
  • Fax: 609-823-3413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NN08585500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: