Provider Demographics
NPI:1124522214
Name:STRAYER, NANCY MUNIZ (RN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MUNIZ
Last Name:STRAYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:GUADALUPE
Other - Last Name:MUNIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:PO BOX 546
Mailing Address - Street 2:
Mailing Address - City:NEAPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:43547-0546
Mailing Address - Country:US
Mailing Address - Phone:419-875-5600
Mailing Address - Fax:
Practice Address - Street 1:2005 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620-1703
Practice Address - Country:US
Practice Address - Phone:419-841-7701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3287712084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry