Healthcare Provider Details

I. General information

NPI: 1396995890
Provider Name (Legal Business Name): ERIN SCHERRY STRAHAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 05/10/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 W 5TH ST STE 112
SHERIDAN WY
82801-2752
US

IV. Provider business mailing address

1333 W 5TH ST STE 110
SHERIDAN WY
82801-2752
US

V. Phone/Fax

Practice location:
  • Phone: 307-672-2522
  • Fax:
Mailing address:
  • Phone: 307-675-2650
  • Fax: 307-675-2651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number457
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: