Provider Demographics
NPI:1134199474
Name:STRIKER, GEORGE (CRNA)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:STRIKER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8219
Mailing Address - Country:US
Mailing Address - Phone:717-572-8450
Mailing Address - Fax:
Practice Address - Street 1:7 ROYAL DR
Practice Address - Street 2:
Practice Address - City:LITIZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8219
Practice Address - Country:US
Practice Address - Phone:717-572-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN333216L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS82528Medicare UPIN
PA028125Medicare ID - Type Unspecified