Provider Demographics
NPI:1215327473
Name:STREUFERT, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:STREUFERT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 E STANDLEY ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-4414
Mailing Address - Country:US
Mailing Address - Phone:707-466-0001
Mailing Address - Fax:707-466-0002
Practice Address - Street 1:280 E STANDLEY ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4414
Practice Address - Country:US
Practice Address - Phone:707-466-0001
Practice Address - Fax:707-466-0002
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1427480557OtherORGANIZATIONAL NPI