Healthcare Provider Details

I. General information

NPI: 1801724539
Provider Name (Legal Business Name): MORGAN LEA ROESENER APRN-NP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 A ST STE 200
LINCOLN NE
68510-4970
US

IV. Provider business mailing address

2721 NW 49TH ST
LINCOLN NE
68524-2168
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8630
  • Fax:
Mailing address:
  • Phone: 402-276-5296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number116985
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: