Provider Demographics
NPI:1518262468
Name:STRENIO, JOAN ALICE (PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ALICE
Last Name:STRENIO
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8781 APPLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-5819
Mailing Address - Country:US
Mailing Address - Phone:440-543-7852
Mailing Address - Fax:
Practice Address - Street 1:10701 EAST BOULEVARD
Practice Address - Street 2:LOUIS CLEVELAND VA MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 03055-NS163WP0809X
OHRN 126741-COA-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult