Healthcare Provider Details

I. General information

NPI: 1558226936
Provider Name (Legal Business Name): NORTH CRICK HOLISTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N 564 AVE
HARTINGTON NE
68739-6077
US

IV. Provider business mailing address

110 N 564 AVE
HARTINGTON NE
68739-6077
US

V. Phone/Fax

Practice location:
  • Phone: 402-841-8854
  • Fax:
Mailing address:
  • Phone: 402-841-8854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: WENDY LEE KRIE
Title or Position: OWNER
Credential: RN, HN-BC, HWNC-BC
Phone: 402-841-8854