Individual
RICKAE D STRACK
Active
Individual
RICKAE D STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
76807
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
53-76807-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004395370002
—
KS
Enumeration date
06/09/2015
Last updated
07/05/2022
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