MEDICARE: MARQUITA L SEASTRONG

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	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1588510283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUITA L SEASTRONG

Provider Business Mailing Address
First Line	:	3024 MYRTLE AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68131-1467
Country	:	US
Telephone Number	:	402-502-3513
Fax Number	:	402-512-9047

Provider Business Practice Location Address
First Line	:	3024 MYRTLE AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68131-1467
Country	:	US
Telephone Number	:	402-502-3513
Fax Number	:	402-512-9047

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ MARQUITA L SEASTRONG ” Practice Location

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