Provider Demographics
NPI:1376347435
Name:STRICKER, BREANNA JANETTE
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:JANETTE
Last Name:STRICKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5960 PRAIRIE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:WAMEGO
Mailing Address - State:KS
Mailing Address - Zip Code:66547-9612
Mailing Address - Country:US
Mailing Address - Phone:402-580-9492
Mailing Address - Fax:
Practice Address - Street 1:13057 W CENTER RD STE 21
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3723
Practice Address - Country:US
Practice Address - Phone:402-261-5158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY111430005372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion