MEDICARE: ALEXIS MARIE VANARSDALL

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1346174406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS MARIE VANARSDALL

Provider Business Mailing Address
First Line	:	4433 S 70TH ST STE 200
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-4275
Country	:	US
Telephone Number	:	402-873-3306
Fax Number	:

Provider Business Practice Location Address
First Line	:	4433 S 70TH ST STE 200
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-4275
Country	:	US
Telephone Number	:	402-873-3306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ ALEXIS MARIE VANARSDALL ” Practice Location

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