Individual
NICOLE L GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7710 MERCY RD STE 2000, OMAHA, NE 68124-2323
(402) 717-0820
(402) 717-6014
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 398-6248
(402) 717-6014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113941
NE
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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