Individual
HEATHER NICOLE STRAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE # DELIVERY, WYNNEWOOD, PA 19096-3450
(484) 476-2326
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP021202
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
SP021202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104847630
NCC (NATIONAL CERTIFICATION CORPORATION)
—
01
—
SP021202
PA STATE BOARD OF NURSING
PA
Enumeration date
11/21/2019
Last updated
02/19/2025
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