MEDICARE: RACHAEL SERENA

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	172V00000X	Community Health Worker		NE

General Provider Information

NPI Number	:	1811701436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL SERENA

Provider Business Mailing Address
First Line	:	985450 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-5450
Country	:	US
Telephone Number	:	402-559-8943
Fax Number	:	402-559-5737

Provider Business Practice Location Address
First Line	:	6802 PINE ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:	402-559-6418
Fax Number	:	402-559-5737

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

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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Directions to “ RACHAEL SERENA ” Practice Location

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