Provider Demographics
NPI:1407073380
Name:STRACUZZI, JOANN HUNT (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:HUNT
Last Name:STRACUZZI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 RICK RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3173
Mailing Address - Country:US
Mailing Address - Phone:215-953-8232
Mailing Address - Fax:215-953-2848
Practice Address - Street 1:1829 BUSTLETON PIKE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7309
Practice Address - Country:US
Practice Address - Phone:215-364-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA005823-C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS88029Medicare UPIN
PA030877Medicare ID - Type Unspecified