Provider Demographics
NPI:1982268082
Name:STRAY, SULEIKA RAPHAELA (AG ACNP)
Entity type:Individual
Prefix:MRS
First Name:SULEIKA
Middle Name:RAPHAELA
Last Name:STRAY
Suffix:
Gender:F
Credentials:AG ACNP
Other - Prefix:
Other - First Name:SULEIKA
Other - Middle Name:RAPHAELA
Other - Last Name:AUDDINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28975 S VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-7108
Mailing Address - Country:US
Mailing Address - Phone:440-413-9224
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.340441163WC0200X
OHAPRN.CNP.024569363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine