MEDICARE: MRS. WENDY DIANE STRICKLER LPN CNA PCA

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	164W00000X	Licensed Practical Nurse	68390	MA

General Provider Information

NPI Number	:	1831353523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WENDY DIANE STRICKLER LPN CNA PCA

Provider Business Mailing Address
First Line	:	4 DEER MEADOW RD
Second Line	:
City	:	EAST HARWICH
State	:	MA
Zip	:	02645-2239
Country	:	US
Telephone Number	:	508-432-8875
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 DEER MEADOW RD
Second Line	:
City	:	EAST HARWICH
State	:	MA
Zip	:	02645-2239
Country	:	US
Telephone Number	:	508-432-8875
Fax Number	:

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

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	07/11/2008

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