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NPI Code Detail

MEDICARE: MAKAELA RAE URBANOVSKY

MEDICARE: MAKAELA RAE URBANOVSKY
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1104639723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAELA RAE URBANOVSKY
Provider Business Mailing Address
First Line : 7562 UPTON GREY LN
Second Line :
City : LINCOLN
State : NE
Zip : 68516-5694
Country : US
Telephone Number : 402-890-6550
Fax Number : 402-325-1619
Provider Business Practice Location Address
First Line : 7562 UPTON GREY LN
Second Line :
City : LINCOLN
State : NE
Zip : 68516-5694
Country : US
Telephone Number : 402-890-6550
Fax Number : 402-325-1619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “ MAKAELA RAE URBANOVSKY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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