Provider Demographics
NPI:1568262087
Name:WEGENER, SHARON M
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:M
Last Name:WEGENER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42492 340 AVE
Mailing Address - Street 2:
Mailing Address - City:HUMPHREY
Mailing Address - State:NE
Mailing Address - Zip Code:68642-4029
Mailing Address - Country:US
Mailing Address - Phone:402-920-2263
Mailing Address - Fax:
Practice Address - Street 1:42492 340 AVE
Practice Address - Street 2:
Practice Address - City:HUMPHREY
Practice Address - State:NE
Practice Address - Zip Code:68642-4029
Practice Address - Country:US
Practice Address - Phone:402-920-2263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker