Provider Demographics
NPI:1285818864
Name:STRAUB, CYNTHIA (RNP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:
Last Name:STRAUB
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14051 ST FRANCIS BLVD
Mailing Address - Street 2:STE 2209
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3203
Mailing Address - Country:US
Mailing Address - Phone:804-285-6090
Mailing Address - Fax:804-639-8069
Practice Address - Street 1:2366 COLONY CROSSING PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4280
Practice Address - Country:US
Practice Address - Phone:804-285-6090
Practice Address - Fax:804-639-8069
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17880363L00000X
VA0024169493363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06778OtherGROUP PTAN