MEDICARE: CHLOE MARGARET STRYCKER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95020229	CA

General Provider Information

NPI Number	:	1225776461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE MARGARET STRYCKER

Provider Business Mailing Address
First Line	:	73030 CATALINA WAY
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-2802
Country	:	US
Telephone Number	:	512-423-7972
Fax Number	:

Provider Business Practice Location Address
First Line	:	536 CAMINO MERCADO
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-1814
Country	:	US
Telephone Number	:	805-540-0279
Fax Number	:

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

Provider Enumeration Date	:	05/26/2022
Last Update Date	:	06/10/2022

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