Individual ProviderMakenna Rose VanlengenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address42nd And Emile, Omaha, NE 68198-0001(308) 865-8323(480) 717-9023PECOS EnrollmentBased on the most recent information from CMS, provider Makenna Rose Vanlengen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023855053Provider TypeIndividualFull NameVanlengen, Makenna RoseGenderFemaleSole ProprietorNoEnumeration Date7/9/2024Last Updated7/9/2024Contact InformationPractice LocationPractice Address42nd And Emile, Omaha, NE 68198-0001Phone(308) 865-8323FaxUnlisted FaxMailing LocationMailing Address2206 E 34th St Apt 1, Kearney, NE 68847-3942Phone(480) 717-9023FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer