Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00565200 | NJ |
NPI | 1033597968 |
---|---|
Provider Name | Kimberly Stricker |
First Address | Asbury, NJ 08802-1317 |
Second Address | Asbury, NJ 08802-1317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2015 |
Last Update Date | 12/05/2015 |