Provider Demographics
NPI:1225002363
Name:MALEE, MAUREEN PATRICE (MD PHD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:PATRICE
Last Name:MALEE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S 48 ST
Mailing Address - Street 2:SUITE 712
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-483-8485
Mailing Address - Fax:402-483-8486
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:SUITE 712
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1276
Practice Address - Country:US
Practice Address - Phone:402-483-8485
Practice Address - Fax:402-483-8486
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25018207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036071208Medicaid
ILK18857Medicare ID - Type Unspecified
ILK18858Medicare ID - Type Unspecified
IL036071208Medicaid