Provider Demographics
NPI:1952488652
Name:STRAUSS, PENELOPE Z (PHD, APRN-CRNA)
Entity Type:Individual
Prefix:
First Name:PENELOPE
Middle Name:Z
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:PHD, APRN-CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 HOSPITAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7631
Mailing Address - Country:US
Mailing Address - Phone:505-982-7246
Mailing Address - Fax:
Practice Address - Street 1:1631 HOSPITAL DR STE 100
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7631
Practice Address - Country:US
Practice Address - Phone:505-982-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX589806367500000X
NM56610207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126024208Medicaid
TX126024208Medicaid