Provider Demographics
NPI:1952830150
Name:STRANGE, AUBREY CLAY (APRN)
Entity Type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:CLAY
Last Name:STRANGE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGHILL
Mailing Address - State:LA
Mailing Address - Zip Code:71075-4526
Mailing Address - Country:US
Mailing Address - Phone:318-423-0255
Mailing Address - Fax:
Practice Address - Street 1:106 TRI STATE DR
Practice Address - Street 2:
Practice Address - City:SAREPTA
Practice Address - State:LA
Practice Address - Zip Code:71071-2826
Practice Address - Country:US
Practice Address - Phone:318-994-2266
Practice Address - Fax:318-539-9177
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily