Provider Demographics
NPI:1841254729
Name:STRAUB, PAULA (APN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:STRAUB
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 VENTNOR AVE
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-2218
Mailing Address - Country:US
Mailing Address - Phone:609-823-6161
Mailing Address - Fax:609-823-3413
Practice Address - Street 1:9501 VENTNOR AVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-2218
Practice Address - Country:US
Practice Address - Phone:609-823-6161
Practice Address - Fax:609-823-3413
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08585500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7294506Medicaid
NJ909558Medicare ID - Type Unspecified
NJ7294506Medicaid