Individual
EMILY JEAN GRANDGENETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
3013 S 72ND AVE, OMAHA, NE 68124-3503
(402) 578-6170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114886
NE
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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