Healthcare Provider Details
I. General information
NPI: 1821894635
Provider Name (Legal Business Name): MARIE F WOHLERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14051 HIGHWAY 2 71
CRAWFORD NE
69339-1902
US
IV. Provider business mailing address
14051 HIGHWAY 2 71
CRAWFORD NE
69339-1902
US
V. Phone/Fax
- Phone: 308-430-2961
- Fax:
- Phone: 308-430-2961
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372500000X |
| Taxonomy | Chore Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: