Provider Demographics
NPI:1356149777
Name:MCVAY, DENE ROCHELLE
Entity type:Individual
Prefix:
First Name:DENE
Middle Name:ROCHELLE
Last Name:MCVAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3423 2ND AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2947
Mailing Address - Country:US
Mailing Address - Phone:308-663-3828
Mailing Address - Fax:
Practice Address - Street 1:215 NEBRASKA ST
Practice Address - Street 2:
Practice Address - City:GUIDE ROCK
Practice Address - State:NE
Practice Address - Zip Code:68942-8143
Practice Address - Country:US
Practice Address - Phone:308-627-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant