Healthcare Provider Details

I. General information

NPI: 1134199474
Provider Name (Legal Business Name): GEORGE STRIKER CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ROYAL DR
LITIZ PA
17543-8219
US

IV. Provider business mailing address

7 ROYAL DR
LITITZ PA
17543-8219
US

V. Phone/Fax

Practice location:
  • Phone: 717-572-8450
  • Fax:
Mailing address:
  • Phone: 717-572-8450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN333216L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: