Provider Demographics
NPI:1861003311
Name:STREGE, MARLENE VERNETTE (MS)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:VERNETTE
Last Name:STREGE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2633 5TH AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3348
Mailing Address - Country:US
Mailing Address - Phone:760-803-9704
Mailing Address - Fax:
Practice Address - Street 1:3811 OHARA ST FL TOWERS8
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2561
Practice Address - Country:US
Practice Address - Phone:760-803-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program