Provider Demographics
NPI:1861379539
Name:STEARLEY, MAKENNA RAE
Entity type:Individual
Prefix:
First Name:MAKENNA
Middle Name:RAE
Last Name:STEARLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 S 45TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-3018
Mailing Address - Country:US
Mailing Address - Phone:402-432-2922
Mailing Address - Fax:
Practice Address - Street 1:7200 S 45TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-3018
Practice Address - Country:US
Practice Address - Phone:402-432-2922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion