Healthcare Provider Details

I. General information

NPI: 1821946583
Provider Name (Legal Business Name): TANEESHA LYNN STRACKBEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N 3RD ST APT 503
NEBRASKA CITY NE
68410-2555
US

IV. Provider business mailing address

719 N 10TH ST
NEBRASKA CITY NE
68410-1668
US

V. Phone/Fax

Practice location:
  • Phone: 402-873-5451
  • Fax:
Mailing address:
  • Phone: 402-874-1557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: