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Individual

MS. CARLA SUE STRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1155 N 1200 W, MIDDLEBURY, IN 46540-9372
(574) 825-3888
(574) 825-3999
Mailing address
21075 STATE ROUTE 47, MAPLEWOOD, OH 45340-8724

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA-07418-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000577053
ANTHEM BCBS OH
OH
05
2826937
OH
Enumeration date
01/08/2008
Last updated
01/02/2021
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