# SHERMAN WAYNE WIENEKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275088031
- **Gender:** Man
- **Credential:** AGNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WE0003X | Emergency Registered Nurse | 0187139 | CO | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP131815 | TX | Yes |

## Other

- **Enumeration date:** 08/22/2016
- **Last updated:** 01/10/2019