Individual
MARTHA STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
221 RAINBOW DR # 12140, LIVINGSTON, TX 77399-2021
(865) 809-7527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10156
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
573799
TX
367500000X
Certified Registered Nurse Anesthetist
RN0000135167
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198572302
—
TX
01
—
87710U
BLUE CROSS
TX
01
—
P00878108
RAILROAD MEDICARE
TX
Enumeration date
09/14/2006
Last updated
09/08/2024
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