=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548188501
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NANCY MARIE STRAUB
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2026
-----------------------------------------------------
Last Update Date | 07/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1125 EMILY AVE
-----------------------------------------------------
City | ROHNERT PARK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94928-1913
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-588-5715
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7600 LELAND ST
-----------------------------------------------------
City | SEBASTOPOL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95472-4133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-477-0879
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------