1497055149 NPI number — MRS. CATHERINE MARY STRENKOWSKI PA-C

Table of content: MRS. CATHERINE MARY STRENKOWSKI PA-C (NPI 1497055149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497055149 NPI number — MRS. CATHERINE MARY STRENKOWSKI PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRENKOWSKI
Provider First Name:
CATHERINE
Provider Middle Name:
MARY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MUNSTERMAN
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497055149
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3805 E BELL RD STE 3100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85032-2136
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-494-3656
Provider Business Mailing Address Fax Number:
602-867-3862

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14155 N 83RD AVE STE 136
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEORIA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85381-5652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-847-3884
Provider Business Practice Location Address Fax Number:
623-404-3805
Provider Enumeration Date:
10/28/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  4774 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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