Provider Demographics
NPI:1841735818
Name:STRAHOWSKI, KATIE
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:STRAHOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:GAUDIOSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-3559
Mailing Address - Country:US
Mailing Address - Phone:203-592-0566
Mailing Address - Fax:
Practice Address - Street 1:85 GILLETT STREET
Practice Address - Street 2:CLEAN SLATE
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105
Practice Address - Country:US
Practice Address - Phone:413-584-2173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6836363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily