Individual
CRYSTAL K WIENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 GLENMORE DR APT 101, NORFOLK, NE 68701-2656
(402) 841-9088
Mailing address
1503 GLENMORE DR, NORFOLK, NE 68701-2650
(402) 841-9088
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
H12163458
NE
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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