Provider Demographics
NPI:1043017692
Name:ARENS, CONNIE LYNN
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:LYNN
Last Name:ARENS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:LYNN
Other - Last Name:WIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:414 S CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-4602
Mailing Address - Country:US
Mailing Address - Phone:402-841-9583
Mailing Address - Fax:
Practice Address - Street 1:414 S CEDAR AVE
Practice Address - Street 2:
Practice Address - City:HARTINGTON
Practice Address - State:NE
Practice Address - Zip Code:68739-4602
Practice Address - Country:US
Practice Address - Phone:402-841-9583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion