Provider Demographics
NPI:1497552475
Name:STRAETKER, DEBORAH JEANETTE
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JEANETTE
Last Name:STRAETKER
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:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:DIX
Mailing Address - State:NE
Mailing Address - Zip Code:69133-0212
Mailing Address - Country:US
Mailing Address - Phone:308-235-8571
Mailing Address - Fax:
Practice Address - Street 1:305 VINE ST
Practice Address - Street 2:
Practice Address - City:DIX
Practice Address - State:NE
Practice Address - Zip Code:69133-8807
Practice Address - Country:US
Practice Address - Phone:308-235-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant