Provider Demographics
NPI:1235873688
Name:STRICKER, LORETTA MARIE (CMA, CNA,)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:MARIE
Last Name:STRICKER
Suffix:
Gender:F
Credentials:CMA, CNA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 816
Mailing Address - Street 2:
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001
Mailing Address - Country:US
Mailing Address - Phone:509-342-8855
Mailing Address - Fax:509-474-1208
Practice Address - Street 1:13660 W. 6TH AVE.
Practice Address - Street 2:APT I-106
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001
Practice Address - Country:US
Practice Address - Phone:509-342-8855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
IDIDWA018720304374U00000X, 376K00000X
WANC10064459376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376K00000XNursing Service Related ProvidersNurse's Aide