Provider Demographics
NPI:1609551316
Name:STRICKER, ANNE ELIZABETH (RDH, COM)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ELIZABETH
Last Name:STRICKER
Suffix:
Gender:F
Credentials:RDH, COM
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:STRICKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH, COM
Mailing Address - Street 1:4596 PARFET ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2654
Mailing Address - Country:US
Mailing Address - Phone:970-210-9432
Mailing Address - Fax:
Practice Address - Street 1:3000 YOUNGFIELD ST STE 263
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80215-6520
Practice Address - Country:US
Practice Address - Phone:303-759-2760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH000906341124Q00000X
COC-124580225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No124Q00000XDental ProvidersDental Hygienist