Healthcare Provider Details

I. General information

NPI: 1225002363
Provider Name (Legal Business Name): MAUREEN PATRICE MALEE MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S 48TH ST SUITE 712
LINCOLN NE
68506-1276
US

IV. Provider business mailing address

1500 S 48 ST SUITE 712
LINCOLN NE
68506
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8485
  • Fax: 402-483-8486
Mailing address:
  • Phone: 402-483-8485
  • Fax: 402-483-8486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number25018
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: