Individual
CELYCE BEVERLY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 DODGE ST, OMAHA, NE 68132-3111
(402) 558-2000
Mailing address
4677 MAYBERRY ST, OMAHA, NE 68106-2023
(402) 871-2994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115118
NE
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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