Individual
EMMA MARIE GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 226TH ST, EAGLE, NE 68347-1809
(402) 670-1275
Mailing address
5623 CEDAR ST, OMAHA, NE 68106-2235
(402) 890-5091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27748
NE
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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