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NPI 1205065679

NPI 1205065679 : SERENA ELIZABETH MACAULEY MSN, APRN : LINCOLN, NE

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General NPI Number Information
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    NPI Number           |    1205065679
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    Entity Type          |    Individual 
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    Provider Name        |    SERENA ELIZABETH MACAULEY MSN, APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2009
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    3901 FAULKNER DR 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68516-4738
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    Country              |    US
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    Telephone            |    402-309-9183
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3901 FAULKNER DR 
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    City                 |    LINCOLN
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    State                |    NE
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    Zip                  |    68516-4738
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    Country              |    US
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    Telephone            |    402-875-9270
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    Fax                  |    402-875-9272
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    111027
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    License Number State |    NE
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