Provider Demographics
NPI:1205058146
Name:STRAH, SHERYL D III (LPN)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:D
Last Name:STRAH
Suffix:III
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 N BENTLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-5210
Mailing Address - Country:US
Mailing Address - Phone:330-544-5282
Mailing Address - Fax:
Practice Address - Street 1:514 N BENTLEY AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-5210
Practice Address - Country:US
Practice Address - Phone:330-544-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN096849164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN 096849OtherLPN