MEDICARE: CAROLINE CHUNG STRECKER FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	876943	NV
2	363LF0000X	Family Nurse Practitioner	294574	AZ

General Provider Information

NPI Number	:	1043998628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE CHUNG STRECKER FNP-BC

Provider Business Mailing Address
First Line	:	5556 S INTEGRITY LN
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-8861
Country	:	US
Telephone Number	:	928-514-3722
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 S HIGHWAY 95
Second Line	:
City	:	MOHAVE VALLEY
State	:	AZ
Zip	:	86440-8519
Country	:	US
Telephone Number	:	928-768-7113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	02/04/2026

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Directions to “ CAROLINE CHUNG STRECKER FNP-BC” Practice Location

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