Healthcare Provider Details

I. General information

NPI: 1396649158
Provider Name (Legal Business Name): KRISTEN STRICKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 MITCHAW RD
SYLVANIA OH
43560-9799
US

IV. Provider business mailing address

4321 MITCHAW RD
SYLVANIA OH
43560-9799
US

V. Phone/Fax

Practice location:
  • Phone: 419-824-8610
  • Fax: 419-824-8606
Mailing address:
  • Phone: 419-824-8610
  • Fax: 419-824-8606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.360376
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: