Provider Demographics
NPI:1548065428
Name:WEITZENKAMP, CASSANDRA K
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:K
Last Name:WEITZENKAMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 COUNTY ROAD 20
Mailing Address - Street 2:
Mailing Address - City:HOOPER
Mailing Address - State:NE
Mailing Address - Zip Code:68031-2172
Mailing Address - Country:US
Mailing Address - Phone:402-599-9292
Mailing Address - Fax:
Practice Address - Street 1:331 8TH ST
Practice Address - Street 2:
Practice Address - City:UEHLING
Practice Address - State:NE
Practice Address - Zip Code:68063-5046
Practice Address - Country:US
Practice Address - Phone:402-599-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant