Individual
ROCHELLE GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4905 S 107TH AVE, STE 205, OMAHA, NE 68127-1965
(402) 597-2585
Mailing address
2709 BEALE CIR, BELLEVUE, NE 68123-1712
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
77642
NE
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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