Provider Demographics
NPI:1386244853
Name:KRIEG, WENDY B (C N A)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:B
Last Name:KRIEG
Suffix:
Gender:F
Credentials:C N A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:ND
Mailing Address - Zip Code:58638-0205
Mailing Address - Country:US
Mailing Address - Phone:701-878-4643
Mailing Address - Fax:
Practice Address - Street 1:712 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:ND
Practice Address - Zip Code:58638-7019
Practice Address - Country:US
Practice Address - Phone:701-878-4643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant