Provider Demographics
NPI:1518178326
Name:STRAFFE, MARY E (RNPNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:STRAFFE
Suffix:
Gender:F
Credentials:RNPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-3224
Mailing Address - Country:US
Mailing Address - Phone:609-610-4742
Mailing Address - Fax:215-785-5409
Practice Address - Street 1:231 CROSSWICKS RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-2602
Practice Address - Country:US
Practice Address - Phone:609-298-7204
Practice Address - Fax:609-298-0491
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NNO05840300363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics