Provider Demographics
NPI:1154801041
Name:STRAWSER, JAMES W (LPN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:STRAWSER
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6209 ANCIENT OAK DR APT 129
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1038
Mailing Address - Country:US
Mailing Address - Phone:859-630-3838
Mailing Address - Fax:
Practice Address - Street 1:6209 ANCIENT OAK DR APT 129
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1038
Practice Address - Country:US
Practice Address - Phone:859-630-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5205723164W00000X
KY2046317164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse