Provider Demographics
NPI:1144073933
Name:STRAND, WYSHEKA MICHELLE
Entity type:Individual
Prefix:MRS
First Name:WYSHEKA
Middle Name:MICHELLE
Last Name:STRAND
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:WYSHEKA
Other - Middle Name:MICHELLE
Other - Last Name:BANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5341 ACHILLES DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464
Mailing Address - Country:US
Mailing Address - Phone:910-750-1611
Mailing Address - Fax:
Practice Address - Street 1:5341 ACHILLES DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464
Practice Address - Country:US
Practice Address - Phone:910-750-1611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)