Provider Demographics
NPI:1326180753
Name:STRICKLAND, MISTI LEE (RN)
Entity Type:Individual
Prefix:MS
First Name:MISTI
Middle Name:LEE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MISTI
Other - Middle Name:LEE
Other - Last Name:TWARDOSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33526-0232
Mailing Address - Country:US
Mailing Address - Phone:352-518-2000
Mailing Address - Fax:352-567-0218
Practice Address - Street 1:37944 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525
Practice Address - Country:US
Practice Address - Phone:352-518-2000
Practice Address - Fax:352-567-0218
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9249413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse