MEDICARE: ANNA STRANGE

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1760936660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA STRANGE

Provider Business Mailing Address
First Line	:	244 SERENITY RIDGE CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5913
Country	:	US
Telephone Number	:	775-537-5562
Fax Number	:

Provider Business Practice Location Address
First Line	:	244 SERENITY RIDGE CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5913
Country	:	US
Telephone Number	:	775-537-5562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2016
Last Update Date	:	08/08/2016

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Directions to “ ANNA STRANGE ” Practice Location

Language	Start Address	Practice Location

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