Provider Demographics
NPI:1083115505
Name:STREETE, SASHOYA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SASHOYA
Middle Name:
Last Name:STREETE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3816 S CLEAR CREEK RD STE E
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-4401
Mailing Address - Country:US
Mailing Address - Phone:254-554-8773
Mailing Address - Fax:
Practice Address - Street 1:3816 S CLEAR CREEK RD STE E
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-4401
Practice Address - Country:US
Practice Address - Phone:254-554-8773
Practice Address - Fax:254-554-2018
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX849614163WM0705X
TXAP136758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical