Provider Demographics
NPI:1659390508
Name:STRAHM, ROBBIE L (ARNP)
Entity Type:Individual
Prefix:
First Name:ROBBIE
Middle Name:L
Last Name:STRAHM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 S MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3544
Mailing Address - Country:US
Mailing Address - Phone:785-242-1620
Mailing Address - Fax:785-242-3825
Practice Address - Street 1:1418 S MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067
Practice Address - Country:US
Practice Address - Phone:785-242-1620
Practice Address - Fax:785-242-3825
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100644380AMedicaid
KS161009OtherBLUE CROSS BLUE SHIELD
KS161009OtherBLUE CROSS BLUE SHIELD