Individual
MICHELLE CHERIE WIENEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16312 GRACKLE DR, ROGERS, AR 72756-7742
(479) 481-6599
(479) 413-8927
Mailing address
16312 GRACKLE DR, ROGERS, AR 72756-7742
(479) 481-6599
(479) 413-8927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03213
AR
363L00000X
Nurse Practitioner
ATP000182
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177309758
—
AR
Enumeration date
12/17/2008
Last updated
09/08/2025
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