Provider Demographics
NPI:1134927254
Name:KRIEG, NICK G
Entity type:Individual
Prefix:
First Name:NICK
Middle Name:G
Last Name:KRIEG
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 1:527 MEVES AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-7858
Mailing Address - Country:US
Mailing Address - Phone:308-383-3934
Mailing Address - Fax:
Practice Address - Street 1:527 MEVES AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-7858
Practice Address - Country:US
Practice Address - Phone:308-383-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist