Provider Demographics
NPI:1821096231
Name:STRAW, ANA (NURSE PRACTITIONER,)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:
Last Name:STRAW
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 GOTHARD RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5739
Mailing Address - Country:US
Mailing Address - Phone:410-527-1900
Mailing Address - Fax:410-527-0085
Practice Address - Street 1:13801 YORK RD
Practice Address - Street 2:
Practice Address - City:COCKYS HT VLY
Practice Address - State:MD
Practice Address - Zip Code:21030-1825
Practice Address - Country:US
Practice Address - Phone:410-527-1900
Practice Address - Fax:410-527-0085
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR048038363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD356ROtherPROVIDER #
MD356ROtherPROVIDER #