Healthcare Provider Details

I. General information

NPI: 1699942672
Provider Name (Legal Business Name): CATHLEEN J STRAUCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 05/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 OLENTANGY RIVER ROAD NATIONWIDE CHILDRENS HOSPITAL AT RIVERSIDE METHODIST H
COLUMBUS OH
43214
US

IV. Provider business mailing address

700 CHILDRENS DRIVE
COLUMBUS OH
43205
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-5366
  • Fax: 614-566-6675
Mailing address:
  • Phone: 614-722-6510
  • Fax: 614-722-4772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN155207
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP01853
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberSTR104278164
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number98429
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: