Healthcare Provider Details

I. General information

NPI: 1891487534
Provider Name (Legal Business Name): SHELBY RAE STRAUSS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 EVERGREEN DR STE 200
GLEN MILLS PA
19342-1059
US

IV. Provider business mailing address

18444 N 25TH AVE STE 310
PHOENIX AZ
85023-1266
US

V. Phone/Fax

Practice location:
  • Phone: 610-876-0347
  • Fax: 833-941-3871
Mailing address:
  • Phone: 610-768-2810
  • Fax: 833-941-3871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP036043
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number26NR22295400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14890300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: