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NPI Code Detail

MEDICARE: MS. DIANE ELIZABETH STRAUS NP

MEDICARE: MS. DIANE ELIZABETH STRAUS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner15624CA

General Provider Information

NPI Number : 1255388237
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE ELIZABETH STRAUS NP
Provider Business Mailing Address
First Line : 3260 SACRAMENTO ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2739
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3260 SACRAMENTO ST
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2739
Country : US
Telephone Number : 510-428-4526
Fax Number : 510-428-4594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 01/05/2012

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