Provider Demographics
NPI:1578911509
Name:JONES-STRAWDER, MARCEDIS
Entity Type:Individual
Prefix:MRS
First Name:MARCEDIS
Middle Name:
Last Name:JONES-STRAWDER
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 1:410 STOKES AVE
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK
Mailing Address - State:PA
Mailing Address - Zip Code:15104-2247
Mailing Address - Country:US
Mailing Address - Phone:412-551-9845
Mailing Address - Fax:412-727-1562
Practice Address - Street 1:410 STOKES AVE
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-2247
Practice Address - Country:US
Practice Address - Phone:412-551-9845
Practice Address - Fax:412-727-1562
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10039589376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide