Provider Demographics
NPI:1154677110
Name:STRAYER, EMILY MAE HERMILLER
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MAE HERMILLER
Last Name:STRAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 33RD AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2023
Mailing Address - Country:US
Mailing Address - Phone:651-280-8306
Mailing Address - Fax:
Practice Address - Street 1:3128 33RD AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-2023
Practice Address - Country:US
Practice Address - Phone:651-280-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula