Individual
GRANT FABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NP
Contact information
Practice address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Mailing address
1111 N 102ND CT STE 200, OMAHA, NE 68114-2194
(402) 502-2747
(402) 502-2387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114889
NE
363LG0600X
Gerontology Nurse Practitioner
114889
NE
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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