Basic Information
Provider Information
NPI: 1578976544
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZALESKI
FirstName: ERIN
MiddleName: N
NamePrefix: MRS.
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5000 N 26TH ST STE 100
Address2:  
City: LINCOLN
State: NE
PostalCode: 685214749
CountryCode: US
TelephoneNumber: 4024355300
FaxNumber: 4024355511
Practice Location
Address1: 5000 N 26TH ST STE 100
Address2:  
City: LINCOLN
State: NE
PostalCode: 685214749
CountryCode: US
TelephoneNumber: 4024355300
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2014
LastUpdateDate: 05/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN-79396NMN Nursing Service ProvidersRegistered Nurse 
363LF0000XCNP-02422NMN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X112451NEY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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