Healthcare Provider Details

I. General information

NPI: 1518262468
Provider Name (Legal Business Name): JOAN ALICE STRENIO PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 01/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BOULEVARD LOUIS CLEVELAND VA MEDICAL CENTER
CLEVELAND OH
44106
US

IV. Provider business mailing address

8781 APPLE HILL RD
CHAGRIN FALLS OH
44023-5819
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax:
Mailing address:
  • Phone: 440-543-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberCOA 03055-NS
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN 126741-COA-1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: