MEDICARE: BREANNA JANETTE STRICKER

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	372600000X	Adult Companion	111430005	WY

General Provider Information

NPI Number	:	1376347435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNA JANETTE STRICKER

Provider Business Mailing Address
First Line	:	5960 PRAIRIE VIEW RD
Second Line	:
City	:	WAMEGO
State	:	KS
Zip	:	66547-9612
Country	:	US
Telephone Number	:	402-580-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	13057 W CENTER RD STE 21
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68144-3723
Country	:	US
Telephone Number	:	402-261-5158
Fax Number	:

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

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	04/01/2025

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Directions to “ BREANNA JANETTE STRICKER ” Practice Location

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