Provider Demographics
NPI:1316214042
Name:STRAYER, TRISHA M (NP-C)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:M
Last Name:STRAYER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:M
Other - Last Name:SCHAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3170 KETTERING BLVD BLDG B3
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1924
Mailing Address - Country:US
Mailing Address - Phone:937-991-3188
Mailing Address - Fax:937-223-9811
Practice Address - Street 1:9000 N MAIN ST STE G-35
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45415-1182
Practice Address - Country:US
Practice Address - Phone:937-836-4361
Practice Address - Fax:937-836-1140
Is Sole Proprietor?:No
Enumeration Date:2011-11-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007205A363LF0000X
OHAPRN.CNP.021642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily