Provider Demographics
NPI:1952286254
Name:SEDLACEK, CAYLYN DENA
Entity type:Individual
Prefix:
First Name:CAYLYN
Middle Name:DENA
Last Name:SEDLACEK
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 1:2700 LAKEVIEW DR LOT HH
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:NE
Mailing Address - Zip Code:69138-1245
Mailing Address - Country:US
Mailing Address - Phone:605-891-4587
Mailing Address - Fax:
Practice Address - Street 1:2700 LAKEVIEW DR LOT HH
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:NE
Practice Address - Zip Code:69138-1245
Practice Address - Country:US
Practice Address - Phone:605-891-4587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE01346209374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide