Individual
ALYSSA MARIE GRAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-0001
(402) 559-8874
(402) 559-7600
Mailing address
1850 S 177TH AVE, OMAHA, NE 68130-2614
(402) 677-7144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3165
NE
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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