Provider Demographics
NPI:1427894625
Name:STRELCZYK, JUSTINE N (FNP-C)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:N
Last Name:STRELCZYK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 FM 822
Mailing Address - Street 2:
Mailing Address - City:EDNA
Mailing Address - State:TX
Mailing Address - Zip Code:77957-6011
Mailing Address - Country:US
Mailing Address - Phone:361-550-1714
Mailing Address - Fax:
Practice Address - Street 1:5001 FM 822
Practice Address - Street 2:
Practice Address - City:EDNA
Practice Address - State:TX
Practice Address - Zip Code:77957-6011
Practice Address - Country:US
Practice Address - Phone:361-550-1714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169246363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily