Provider Demographics
NPI:1376741199
Name:STRATULAT, MARINELA
Entity Type:Individual
Prefix:
First Name:MARINELA
Middle Name:
Last Name:STRATULAT
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 1:13420 W PARADISE LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-5465
Mailing Address - Country:US
Mailing Address - Phone:623-975-2171
Mailing Address - Fax:623-322-1348
Practice Address - Street 1:13420 W PARADISE LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-5465
Practice Address - Country:US
Practice Address - Phone:623-975-2171
Practice Address - Fax:623-322-1348
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider