Provider Demographics
NPI:1801485602
Name:STRAMEL, TANYA MARIE (RN)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARIE
Last Name:STRAMEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E DELAMAR DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8084
Mailing Address - Country:US
Mailing Address - Phone:702-419-2672
Mailing Address - Fax:
Practice Address - Street 1:240 E DELAMAR DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8084
Practice Address - Country:US
Practice Address - Phone:702-419-2672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ245067163W00000X
NVRN57544163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse