Individual
MRS. ROSE ELICH STRAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
255450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25169
PUBLIC HEALTH NURSE
CA
01
—
255450
REGISTERED NURSE
CA
01
—
4725
DIRECTOR OF STAFF DEVELOPMENT
CA
Enumeration date
09/16/2022
Last updated
09/21/2022
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