Provider Demographics
NPI:1710251467
Name:STRAIN, STEPHEN PETER (CNA)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:PETER
Last Name:STRAIN
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 701
Mailing Address - Street 2:
Mailing Address - City:HORSE SHOE
Mailing Address - State:NC
Mailing Address - Zip Code:28742
Mailing Address - Country:US
Mailing Address - Phone:828-329-3700
Mailing Address - Fax:
Practice Address - Street 1:121 CAROLINA HILL DR.
Practice Address - Street 2:
Practice Address - City:HORSE SHOE
Practice Address - State:NC
Practice Address - Zip Code:28742
Practice Address - Country:US
Practice Address - Phone:828-329-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC395285376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide