Healthcare Provider Details

I. General information

NPI: 1437763042
Provider Name (Legal Business Name): RACHEL MAJERUS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 KOENIGSTEIN AVE
NORFOLK NE
68701-3664
US

IV. Provider business mailing address

1902 160TH ST
PETERSBURG NE
68652-5493
US

V. Phone/Fax

Practice location:
  • Phone: 402-644-7329
  • Fax:
Mailing address:
  • Phone: 402-741-9324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number113482
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number80067
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: