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NPI Code Detail

MEDICARE: ALYSHA A MCLEAN PA-C

MEDICARE: ALYSHA A MCLEAN PA-C
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
1363A00000XPhysician Assistant2221NE

General Provider Information

NPI Number : 1316449663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSHA A MCLEAN PA-C
Provider Business Mailing Address
First Line : 1715 26TH ST
Second Line :
City : CENTRAL CITY
State : NE
Zip : 68826-9501
Country : US
Telephone Number : 308-946-3015
Fax Number : 308-946-5914
Provider Business Practice Location Address
First Line : 4214 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1616
Country : US
Telephone Number : 402-564-1338
Fax Number : 402-564-8902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2018
Last Update Date : 01/09/2026

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Directions to “ ALYSHA A MCLEAN PA-C” Practice Location

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