MEDICARE: MELANIE LYNN HOEGERL

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	372500000X	Chore Provider	65643829	NE

General Provider Information

NPI Number	:	1194532010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE LYNN HOEGERL

Provider Business Mailing Address
First Line	:	240 MILLER ST
Second Line	:
City	:	SURPRISE
State	:	NE
Zip	:	68667-6724
Country	:	US
Telephone Number	:	402-367-2549
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 D RD
Second Line	:
City	:	RISING CITY
State	:	NE
Zip	:	68658-3726
Country	:	US
Telephone Number	:	402-367-2549
Fax Number	:

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

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	01/06/2025

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