Provider Demographics
NPI:1457418576
Name:STRATHE, JAYNE ELLEN (RN)
Entity Type:Individual
Prefix:MS
First Name:JAYNE
Middle Name:ELLEN
Last Name:STRATHE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1919 39TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-3802
Mailing Address - Country:US
Mailing Address - Phone:515-229-2604
Mailing Address - Fax:760-380-3291
Practice Address - Street 1:BLDG 166 4TH STREET
Practice Address - Street 2:WEED ARMY HOSPITAL
Practice Address - City:FT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310-3802
Practice Address - Country:US
Practice Address - Phone:515-229-2604
Practice Address - Fax:760-380-3291
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA097818163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency