Provider Demographics
NPI:1306226444
Name:STROUSE, DEBORAH (NP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:STROUSE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9347 CROUSE WILLISON RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-8165
Mailing Address - Country:US
Mailing Address - Phone:614-519-6275
Mailing Address - Fax:614-794-3711
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4312
Practice Address - Country:US
Practice Address - Phone:614-365-5824
Practice Address - Fax:614-365-6429
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17326-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily