Provider Demographics
NPI:1871670794
Name:STRICKLAND, EMILY LOUISE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:LOUISE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:LOUISE
Other - Last Name:ALLIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:380 LOWELL DR
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-7672
Mailing Address - Country:US
Mailing Address - Phone:304-344-1885
Mailing Address - Fax:
Practice Address - Street 1:1418 MACCORKLE AVE SW
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-1342
Practice Address - Country:US
Practice Address - Phone:304-348-1066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1381363A00000X
WV01374363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant