Provider Demographics
NPI:1487294062
Name:STRANG, AGNES ODELIA (WIFE 56YR HUSBAND P)
Entity type:Individual
Prefix:MRS
First Name:AGNES
Middle Name:ODELIA
Last Name:STRANG
Suffix:
Gender:F
Credentials:WIFE 56YR HUSBAND P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ANGERER RD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317
Mailing Address - Country:US
Mailing Address - Phone:724-745-1861
Mailing Address - Fax:724-745-1861
Practice Address - Street 1:18 ANGERER RD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:724-745-1861
Practice Address - Fax:724-745-1861
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider