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NPI Code Detail

MEDICARE: CANDICE JOY WIEMER

MEDICARE: CANDICE JOY WIEMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNE

General Provider Information

NPI Number : 1760333835
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE JOY WIEMER
Provider Business Mailing Address
First Line : 47334 190 AVE
Second Line :
City : CRESTON
State : NE
Zip : 68631-4005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14301 FNB PKWY STE 100
Second Line :
City : OMAHA
State : NE
Zip : 68154-7200
Country : US
Telephone Number : 402-807-7447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ CANDICE JOY WIEMER ” Practice Location

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