Provider Demographics
NPI:1821899105
Name:FUELBERTH, CARIE MARIE
Entity type:Individual
Prefix:MISS
First Name:CARIE
Middle Name:MARIE
Last Name:FUELBERTH
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 1:10026 CROWN POINT PLAZA
Mailing Address - Street 2:4
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134
Mailing Address - Country:US
Mailing Address - Phone:712-355-4765
Mailing Address - Fax:
Practice Address - Street 1:10026 CROWN POINT PLAZA
Practice Address - Street 2:4
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134
Practice Address - Country:US
Practice Address - Phone:712-355-4765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider