Healthcare Provider Details

I. General information

NPI: 1609551316
Provider Name (Legal Business Name): ANNE ELIZABETH STRICKER RDH, COM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNIE STRICKER RDH, COM

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 06/20/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 YOUNGFIELD ST STE 263
WHEAT RIDGE CO
80215-6520
US

IV. Provider business mailing address

4596 PARFET ST
WHEAT RIDGE CO
80033-2654
US

V. Phone/Fax

Practice location:
  • Phone: 303-759-2760
  • Fax:
Mailing address:
  • Phone: 970-210-9432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH000906341
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License NumberC-124580
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: