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NPI Code Detail

MEDICARE: MS. CYNTHIA MARIE STRECK APRN

MEDICARE: MS. CYNTHIA MARIE STRECK APRN
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
1163W00000XRegistered Nurse1341823061KS
2363L00000XNurse Practitioner45805KS
3207Q00000XFamily Medicine Physician04-45805KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720019276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CYNTHIA MARIE STRECK APRN
Provider Business Mailing Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Provider Business Practice Location Address
First Line : 5815 BROADWAY AVE
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3123
Country : US
Telephone Number : 620-792-2544
Fax Number : 620-792-7052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/11/2013

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